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Fabian™ hfo ventilator
Official notice
24 May 2024
Last checked
24 May 2024
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
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
How to check if you're affected
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Company & contacts
Company & contacts
Brand: Acutronic Medical, Fabian™ Hfo Ventilator.
Source & status
Source & status
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Recall details
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Documents, notices & source
See the official notice and source documents for full details.
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