FDA Adverse Event Malfunction Summary report: N

NEUROSENSOR COMBINED ICP/CBF PARACH PROBE, 1X U

MDR report key: 1067532 · Received June 25, 2008

Report

Report Number
2023988-2008-00021
Event Type
Malfunction
Date Received
June 25, 2008
Date of Event
May 31, 2008
Report Date
June 25, 2008
Manufacturer
INTEGRA NEUROSCIENCES
Product Code
GWM
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NM, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

TO DATE, THE DEVICE INVOLVED IN THE REPORTED INCIDENT HAS NOT BEEN RECEIVED FOR EVALUATION. AN INVESTIGATION HAS BEEN INITIATED BASED UPON THE REPORTED INFO.

Description of Event or Problem · 1

THE REPORTER STATED THAT THE NEUROSENSOR PROBE SHOULD BE CALIBRATED TO ZERO PRIOR TO USE. THE USER DID NOT PRE- CALIBRATE THE DEVICE TO ZERO BEFORE IT WAS INSERTED. THE PATIENT HAD A SUBARACHNOID HEMORRHAGE FROM A RUPTURED POSTERIOR INFERIOR CEREBELLAR ARTERY ANEURYSM. THE NEUROSENSOR PROBE WAS INSERTED TO A DEPTH OF 5MM. THE ACCURACY OF THE READINGS, WHEN COMPARED TO ALTERNATIVE MONITORING, WERE DOUBTED DUE TO FAILURE TO ZERO THE DEVICE. ANOTHER PROBE NEEDED TO BE INSERTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NEUROSENSOR COMBINED ICP/CBF PARACH PROBE, 1X U NEUROLOGICAL DIAGNOSTIC DEVICE GWM INTEGRA NEUROSCIENCES 103559-E16

Patients

Seq Age Sex Outcome Treatment
1 45 YR