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