FDA Adverse Event Malfunction Summary report: N

SENSICA UO MONITOR ICU

MDR report key: 10767542 · Received October 31, 2020

Report

Report Number
1018233-2020-20594
Event Type
Malfunction
Date Received
October 31, 2020
Date of Event
October 7, 2020
Report Date
July 20, 2021
Manufacturer
ADAPTEC MEDICAL DEVICES LLC 3014271001
Product Code
EXS
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 0

THE REPORTED ISSUE WAS CONFIRMED. THE ROOT CAUSE OF THE REPORTED ISSUE COULD NOT BE DETERMINED, AS THE REPORTED ISSUE COULD NOT BE REPRODUCED DURING EVALUATION. THE DEVICE WAS NOT RETURNED FOR EVALUATION. THE DEVICE HISTORY RECORD WAS REVIEWED AND FOUND NOTHING THAT COULD HAVE CAUSED OR CONTRIBUTED TO THE REPORTED EVENT. THE INSTRUCTIONS FOR USE WERE FOUND ADEQUATE AND STATE THE FOLLOWING: "IFU FOR PROPERLY CHARGING THE DEVICE: WHEN FIRST USING THE SENSICA UO SYSTEM, THE INTERNAL BACK-UP BATTERY MAY REQUIRE CHARGING. PLUG THE SYSTEM INTO A MEDICAL GRADE WALL SUPPLY USING THE POWER CORD PROVIDED, AND ALLOW A 20 HOURS TO CHARGE BATTERY. TO AVOID BATTERY DRAINAGE OVER TIME, IS RECOMMENDED TO KEEP THE SYSTEM PLUGGED INTO THE WALL DURING USE WHENEVER POSSIBLE. THE BATTERY WILL RECHARGE WHEN THE SYSTEM IS PLUGGED INTO A WALL SUPPLY. CAUTIONS: DURING SYSTEM START UP AND IN GENERAL PRACTICE, PLUG THE SENSICA UO SYSTEM INTO A WALL POWER SUPPLY WHENEVER POSSIBLE. AFTER USING THE SYSTEM ON BATTER BACK-UP, PLUG IT BACK INTO THE WALL POWER SUPPLY RECHARGING AND TO AVOID SYSTEM SHUT DOWN DUE TO A DRAINED BATTERY." H11: SECTION A THROUGH F - THE INFORMATION PROVIDED BY BARD REPRESENTS ALL OF THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT / REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO BARD. H3 OTHER TEXT : THE DEVICE WAS NOT RETURNED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE SENSICA UNIT WAS NOT CALIBRATING. AS PER ADDITIONAL INFORMATION RECEIVED, BIOMED STATED THAT AFTER CHARGING EACH OF THE SYSTEMS, THEY WERE ABLE TO BOOT THEM WITH NO ERRORS. IT WAS CONFIRMED THAT THE DEVICE WAS WORKING PROPERLY.

Additional Manufacturer Narrative · 1

THE INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE A SUPPLEMENTAL REPORT WILL BE FILED. THE DEVICE WAS NOT RETURNED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE SENSICA UNIT WAS NOT CALIBRATING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1232300 SENSICA UO MONITOR ICU SENSICA UO MONITORICU EXS ADAPTEC MEDICAL DEVICES LLC 3014271001 NA

Patients

Seq Age Sex Outcome Treatment
1 Other