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 |