XXIII. Anaesthesia Equipment and
Components
TRAINING SEMINAR ON
MEDICAL DEVICE
ACCIDENT INVESTIGATION
for
Kingdom of Saudi Arabia
Saudi Food & Drug Authority
Riyadh 11-14 February, 2007
Presenter:
Mark E. Bruley
Vice President, Accident and Forensic Investigation
ECRI
5200 Butler Pike, Plymouth Meeting, PA, 19642 USA
Tel: +1 610-825-6000, ext. 5223 E-mail: [email protected]
Web Sites: www.ecri.org
www.mdsr.ecri.org
©ECRI 2007
1
Anaesthesia Equipment and Components
• Anaesthesia Machines
• Anaesthesia Ventilators
• Breathing Circuits
• PEEP Valves
• Medical Gas Supplies
©2007 ECRI
2
Anaesthesia Machines
•
•
•
•
Pre-use checkout
History log
Leaks
Anesthetic agent
monitor
• Backup Battery
• Backup gas cylinders
• Anesthesia records
©2007 ECRI
3
Anaesthesia Ventilators
•
•
•
•
•
Sufficient oxygen to run
Leaks (e.g., bags, bellows)
Alarms (e.g., settings, volume)
Misconnections
Spare parts for older units
©2007 ECRI
4
Breathing Circuits
•
•
•
•
•
Disconnections
Misconnections
Blocked/Open flow path
Rainout
Scavenging system
©2007 ECRI
5
PEEP Valves
• Electronics Failure
• Clogged by secretions
• Wrong setting
©2007 ECRI
6
Other Problems
Medical Gas Supplies
• Contamination (e.g., dirt, water)
Monitors
• Proper settings
• Revert to previous settings
Copyright ECRI 1998
7
Problem Prevention
• Proper Pre-use checks
• Proper Preventive Maintenance
• Know how does the device really works
©2007 ECRI
8
XXIII. Anaesthesia Equipment and
Components
QUESTIONS?
©2007 ECRI
9