Monday, July 15, 2024

Urgent Correction for ZOLL 731 Ventilator Instructions

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ZOLL Medical Corporation has issued an urgent update for the use instructions of their 731 Ventilator devices due to missing MRI safety information in the labeling that may lead to misuse and ventilator failure. The FDA has classified this recall as the most serious type, emphasizing the potential for serious injury or death if the updated instructions are not followed. The recall involves the MRI Compatible 731 ZOLL Ventilators, including models AEV, EMV+, and Eagle II.

Specific operator’s guides and quick reference guides are also affected and require updates. On June 12, 2024, ZOLL sent all affected customers an Urgent Corrective Action notice with the following recommendations: locate and dispose of all old versions of affected Operator’s Guides and Quick Reference Guides, complete and return the customer response form to request replacement manuals, and alert all users of the ZOLL Ventilator with MRI Compatibility to ensure awareness of the safe distance requirements and training on these manual updates.

The update is necessary due to missing MRI safety information in the labeling, which could lead to users placing the ventilator too close to the MRI machine. This proximity can cause the ventilator to trigger alarms, malfunction, or unexpectedly shut down, potentially leading to severe adverse health consequences such as lack of oxygen, difficulty breathing, organ damage, and death. Although no injuries or deaths have been reported, the risk necessitates immediate action.

The ZOLL 731 Series Ventilators, including AEV, EMV+, and Eagle II models, are portable ventilators designed for use with infants (weighing at least 5 kg), children, and adults. These ventilators are suitable for use in hospitals, during transport, and in field hospitals. They can operate on AC or DC power sources or their built-in battery, offering various breathing support modes such as Assist/Control (AC), Synchronized Intermittent Mandatory Ventilation (SIMV) with or without Pressure Support (PS), and Continuous Positive Airway Pressure (CPAP) with or without PS. They support both noninvasive and positive pressure ventilation.

Clinicians and users of the ZOLL 731 Ventilator should dispose of old versions of the Operator’s Guides and Quick Reference Guides. It is crucial to request replacement manuals by completing and returning the customer response form. Additionally, ensuring that all users are aware of the updated MRI safety information and trained accordingly is imperative to prevent misuse and potential device failure. For questions regarding this recall, U.S. customers should contact their local firm representative or ZOLL Medical Technical Support.


ZOLL Ventilator Recall Highlights Critical Safety Measures

The ZOLL Medical Corporation’s recall and update of their 731 Ventilator devices underscore the critical nature of accurate labeling and user instructions in medical device safety. With the FDA classifying this recall as the most serious type, the urgency and importance of adhering to the updated guidelines cannot be overstated. The specific models affected include the AEV, EMV+, and Eagle II, all of which require updated operator’s guides and quick reference guides. The notice sent out on June 12, 2024, provided clear steps for disposing of old manuals and obtaining new ones, ensuring all users are informed and trained on the correct usage of these ventilators.

The missing MRI safety information that prompted this update is a significant concern. Incorrect placement of the ventilator near an MRI machine can lead to serious complications such as device malfunction, alarms, or unexpected shutdowns. These issues can cause life-threatening situations, including lack of oxygen, difficulty breathing, organ damage, and potentially death. While no injuries or deaths have been reported thus far, the potential risks necessitate prompt and thorough action from all users.

The ZOLL 731 Series Ventilators are vital in various medical settings, from hospitals to field hospitals, providing essential breathing support for infants, children, and adults. They are designed to be versatile and robust, capable of running on different power sources and offering multiple ventilation modes. This flexibility makes them indispensable in critical care situations, but also underscores the importance of ensuring they are used correctly and safely. To mitigate these risks, ZOLL Medical Corporation has provided clear instructions for clinicians and users.

Disposing of old manuals and replacing them with updated ones is a crucial first step. Additionally, training all users on the new MRI safety information is vital to prevent misuse. The potential consequences of not following these updated guidelines are severe, and thus, all users must adhere to the recommended actions without delay. The recall notice highlights the importance of continuous vigilance and adherence to safety protocols in the use of medical devices. The detailed steps outlined by ZOLL Medical Corporation, including restarting the ventilator unit before connecting to the patient controller and checking all cables and connections, are essential practices to ensure the ventilator’s proper function and safety.

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These measures are designed to prevent accidental pump stops and other malfunctions that could have serious health implications. In summary, the urgent update for ZOLL 731 Ventilator devices due to missing MRI safety information is a critical measure to ensure patient safety. The potential risks of device failure and the serious health consequences that could result underscore the importance of following the updated guidelines. Clinicians and users must take immediate action to dispose of old manuals, request new ones, and ensure all users are trained on the updated information. The recall serves as a reminder of the continuous need for vigilance and adherence to safety protocols in the use of medical devices, ultimately aiming to protect patient health and well-being.


Resource: U.S. Food and Drug Administration, June 28, 2024

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