Pegasus Alternating Mattresses X2 Capacitor Upgrade Program

Notice type: Advisory

Date: 14/03/2014

 

Product name or type:
Pegasus Alternating Mattresses X2 Capacitor Upgrade Program


Reference:
SN2014(10)


Manufacturer Or Supplier:
ArjoHuntleigh (Ireland) Limited


Target Audience:
Hospital CEOs 
Risk Managers 
Procurement Managers 
Loan Store Managers 
Biomedical Engineers 
Nursing Managers 
Nursing Staff 
HSE Offices 
Community Care Centres 
Community Care Managers 
Health Visitors 
Nursing Homes 
Carers


Problem Or Issue:
ArjoHuntleigh received a recent report of a failure of an internal component causing the power management unit to fail due to overheating of the component. This resulted in the evacuation of a healthcare facility as a result of smoke generated when the component failed.


Background Information Or Related Documents:
Pegasus Alternating Mattresses X2 Capacitor Upgrade Program Document

In June 2010, ArjoHuntleigh initiated a field safety corrective action to upgrade Pegasus Alternating Mattresses with Biwave, Cairwave, Trinova and Viaclin pumps, pre-2006. 

This upgrade was introduced following a number of incidents relating to failure of an internal component causing power management unit failure due to overheating of a component, which could result in loss of therapy when the air pump stops and where non-toxic smoke can be emitted as the component fails. 

ArjoHuntleigh has been unsuccessful in their attempts to date to locate all devices in Ireland affected by this field safety corrective action. A recent incident in Ireland of this type of failure resulted in a facility evacuation as a result of smoke generated when the component failed. There are 134 affected pumps on the Irish market, requiring an upgrade, which cannot be located. 

Please see the PDF version of this Safety Notice for a least of the remaining serial numbers which remain unaccounted for.

Further details of the corrective action can be found in the attached updated field safety notice (FSN) issued by ArjoHuntleigh.


Actions To Be Taken:
The IMB recommends that users: 

(1) Forward this safety notice to all those who need to be aware of this action within your organisation, including those who maintain pumps and to any other persons/organisations where these devices have been transferred. 

(2) Identify the location of all affected pumps. 

(3) If you / your institution have any affected pumps, please follow the manufacturer’s recommendations as outlined in the attached FSN and contact ArjoHuntleigh. 


Further Information:
Enquiries to the manufacturer should be addressed to: 

Rachel Dempster 
ArjoHuntleigh (Ireland) Limited 
EA House 
Damastown Industrial Park 
Mulhuddart 
Dublin 15 

Phone: 01-8098960 
Fax: 01-8098971 
Email: rachel.dempster@arjohuntleigh.com 

All adverse incidents relating to a medical device should be reported to the: 

Health Products Regulatory Authority
Kevin O’Malley House 
Earlsfort Centre 
Earlsfort Terrace 
Dublin 2 

Telephone: +353-1-6764971 
Fax: +353-1-6344033 
E-mail: devicesafety@hpra.ie
Website: www.hpra.ie

Please click here to view a copy of FSN 2010

Please click here to view a copy of FSN 2014

Please click here to view a PDF version of the Safety Notice


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