FDA Adverse Event Malfunction Summary report: N

TRUWAVE DISPOSABLE PRESSURE TRANSDUCER W/ VAMP SYSTEM

MDR report key: 1013220 · Received March 12, 2008

Report

Report Number
6000002-2008-06146
Event Type
Malfunction
Date Received
March 12, 2008
Date of Event
January 7, 2008
Report Date
February 13, 2008
Manufacturer
EDWARDS LIFESCIENCES
Product Code
DRS
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NO
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

DEVICE HAS NOT BEEN RECEIVED FOR EVALUATION AT THIS TIME.

Description of Event or Problem · 1

THE CONNECTION BETWEEN VAMP AND TRANSDUCER CAME LOOSE AND THERE WAS A FLUID LEAK. THIS HAPPENED AFTER PATIENT HAD BEEN CONNECTED TO THE SET FOR TWO DAYS. CUSTOMER SAID IT SOUNDED LIKE "POFF" AND THEN IT CAME LOOSE. NO PATIENT WAS INJURED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TRUWAVE DISPOSABLE PRESSURE TRANSDUCER W/ VAMP SYSTEM CUSTOM DEFINED PRESSURE TRANSDUCER AND BLOOD SAMPLING KIT DRS EDWARDS LIFESCIENCES T100500A 58419825

Patients

Seq Age Sex Outcome Treatment
1 UNK