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Fabian™ hfo ventilator

Official notice

24 May 2024

Last checked

24 May 2024

High riskHealth Canada

An official Health Canada notice concerns Fabian™ hfo ventilator. Software V5.2.2 changed the criteria for detecting a patient circuit disconnect during HFO ventilation with the intent to reduce the potential for patient safety-related risks. While ventilating in HFO mode with pressure amplitude (Pamp) > 1.5x mean pressure (Pmean) and with the breathing circuit properly connected, if the breath-by-breath leak monitor exceeds 40%, the ventilator triggers the disconnect alarm. The displayed volume and leak monitors reset to zero and the ventilator reduces the HFOV amplitude as a protection mechanism to prevent lung injury upon reconnection following a true disconnection. If the patient is not disconnected, this results in a small increase in Pmean, and potentially large reduction in amplitude until the alarm is cleared. The potential health risk for a false disconnect alarm occurring that cannot be resolved is inadequate ventilation due to the oscillation being out of range, resulting in hypoxia, hypercapnia, hypoventilation and/or respiratory arrest. Recall start date: April 17, 2024 Published 2024-05-24.

What to do now

Contact the manufacturer if you require additional information.

Recall number

75560

Official notice

2024-05-24

The hazard

Software V5.2.2 changed the criteria for detecting a patient circuit disconnect during HFO ventilation with the intent to reduce the potential for patient safety-related risks. While ventilating in HFO mode with pressure amplitude (Pamp) > 1.5x mean pressure (Pmean) and with the breathing circuit properly connected, if the breath-by-breath leak monitor exceeds 40%, the ventilator triggers the disconnect alarm. The displayed volume and leak monitors reset to zero and the ventilator reduces the HFOV amplitude as a protection mechanism to prevent lung injury upon reconnection following a true disconnection. If the patient is not disconnected, this results in a small increase in Pmean, and potentially large reduction in amplitude until the alarm is cleared. The potential health risk for a false disconnect alarm occurring that cannot be resolved is inadequate ventilation due to the oscillation being out of range, resulting in hypoxia, hypercapnia, hypoventilation and/or respiratory arrest. Recall start date: April 17, 2024

How to check if you're affected

Compare the product name and identifiers below with the item you own. Follow the official notice if they match.

Recall Numbers

75560

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Affected products

Product 1

Affected products - Fabian™ HFO Ventilator, Lot or serial number - All lots., Model or catalog number - 112001 113001

Risk / hazard

Software V5.2.2 changed the criteria for detecting a patient circuit disconnect during HFO ventilation with the intent to reduce the potential for patient safety-related risks. While ventilating in HFO mode with pressure amplitude (Pamp) > 1.5x mean pressure (Pmean) and with the breathing circuit properly connected, if the breath-by-breath leak monitor exceeds 40%, the ventilator triggers the disconnect alarm. The displayed volume and leak monitors reset to zero and the ventilator reduces the HFOV amplitude as a protection mechanism to prevent lung injury upon reconnection following a true disconnection. If the patient is not disconnected, this results in a small increase in Pmean, and potentially large reduction in amplitude until the alarm is cleared. The potential health risk for a false disconnect alarm occurring that cannot be resolved is inadequate ventilation due to the oscillation being out of range, resulting in hypoxia, hypercapnia, hypoventilation and/or respiratory arrest. Recall start date: April 17, 2024

Where it was sold

The source does not list specific retailers. See the official notice for where affected products were sold.

Location 1

CA · Canada

Affected area 1

CA · Canada

Company & contacts

Manufacturer

Not provided

Phone

Not provided

Brand: Acutronic Medical, Fabian™ Hfo Ventilator.

Source & status

Source

Health Canada

Tier

official

Category

HEALTH

Classification

Type I

App estimate

high

Recall details

Recall number

75560

Classification

Type I

Source tier

official

Documents, notices & source

See the official notice and source documents for full details.

View full official notice
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