FDA Adverse Event
Malfunction
Summary report: N
RENASYS TOUCH 300ML CNST NOSLD
MDR report key: 10246754
·
Received July 8, 2020
Report
- Report Number
- 8043484-2020-01769
- Event Type
- Malfunction
- Date Received
- July 8, 2020
- Date of Event
- June 17, 2020
- Report Date
- October 7, 2020
- Manufacturer
- SMITH & NEPHEW MEDICAL LTD.
- Product Code
- OMP
- UDI-DI
- 04582111155122
- PMA / PMN Number
- K153209
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
THE CASE REPORTED ON 8043484-2020-01769 WAS FOUND TO BE A DUPLICATE OF THE EVENT REPORTED IN 8043484-2020-01767, THEREFORE THE COMPLAINT REPORTED IN 8043484-2020-01769 WILL BE CLOSED. THE CURRENT INVESTIGATION WILL BE DISCARDED. THE CORRECT INVESTIGATION AND FINDINGS WILL BE REPORTED IN THE SUPPLEMENTAL REPORT FOR 8043484-2020-01767.
Description of Event or Problem · 1
IT WAS REPORTED THAT WHEN THE DEVICE WAS PLACED ON A PATIENT, THE FULL CANISTER ALARM WAS TRIGGERED. THE SAME PROBLEM OCCURRED WITH ANOTHER CANISTER FROM A DIFFERENT LOT NUMBER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 710521 | RENASYS TOUCH 300ML CNST NOSLD | NEGATIVE PRESSURE WOUND THERAPY POWERED SUCTION PUMP | OMP | SMITH & NEPHEW MEDICAL LTD. | 28897550 | 04582111155122 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |