FDA Adverse Event Malfunction Summary report: N

RENASYS GO

MDR report key: 10538647 · Received September 15, 2020

Report

Report Number
8043484-2020-02875
Event Type
Malfunction
Date Received
September 15, 2020
Date of Event
August 6, 2020
Report Date
October 5, 2020
Manufacturer
SMITH & NEPHEW MEDICAL LTD.
Product Code
OMP
PMA / PMN Number
K152163
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION RECEIVED BY THE CUSTOMER HAS IDENTIFIED THAT THIS EVENT HAS BEEN ALREADY REPORTED UNDER 8043484-2020-02697. THE NEW INFORMATION CONFIRMS THAT THIS IS A DUPLICATE COMPLAINT, THEREFORE, IF FURTHER DETAILS ARE PROVIDED IN FUTURE CONFIRMING THE OPPOSITE, OUR FILES WILL BE UPDATED ACCORDINGLY AND A FURTHER REPORT WILL BE SUBMITTED OUTLINING BOTH EVENTS DETAILS AND OUR INVESTIGATIONS PERFORMED.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION RECEIVED BY THE CUSTOMER HAS IDENTIFIED THAT THIS EVENT HAS BEEN ALREADY REPORTED UNDER 8043484-2020-02875. THE NEW INFORMATION CONFIRMS THAT THIS IS A DUPLICATE COMPLAINT, THEREFORE, IF FURTHER DETAILS ARE PROVIDED IN FUTURE CONFIRMING THE OPPOSITE, OUR FILES WILL BE UPDATED ACCORDINGLY AND A FURTHER REPORT WILL BE SUBMITTED OUTLINING BOTH EVENTS DETAILS AND OUR INVESTIGATIONS PERFORMED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE UNIT IS OVERHEATING. NO PROCEDURE WAS BEING PERFORMED. NO PATIENT INVOLVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1001308 RENASYS GO NEGATIVE PRESSURE WOUND THERAPY POWERED SUCTION PUMP OMP SMITH & NEPHEW MEDICAL LTD.

Patients

Seq Age Sex Outcome Treatment
1