FDA Adverse Event Malfunction Summary report: N

VIGILEO ARTERIAL PRESSURE CARDIAC OUTPUT/OXIMETRY SENSOR

MDR report key: 1082675 · Received July 21, 2008

Report

Report Number
6000002-2008-08132
Event Type
Malfunction
Date Received
July 21, 2008
Date of Event
July 1, 2008
Report Date
July 2, 2008
Manufacturer
EDWARDS LIFESCIENCES, DR
Product Code
DRS
PMA / PMN Number
K043065
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

DEVICE NOT RETURNED.

Description of Event or Problem · 1

REPORTEDLY, BROKEN TUBING WAS OBSERVED WHEN THE PACKAGE WAS OPENED. FOLLOW UP INDICATED THAT THE TUBING WAS BROKE AT THE CONNECTION OF THE STOPCOCK SENSOR. NO PATIENT COMPLICATIONS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 VIGILEO ARTERIAL PRESSURE CARDIAC OUTPUT/OXIMETRY SENSOR FLOTRAC SENSOR DRS EDWARDS LIFESCIENCES, DR MHD8 58476474

Patients

Seq Age Sex Outcome Treatment
1 UNK Other