FDA Adverse Event Malfunction Summary report: N

VIGILEO ARTERIAL PRESSURE CARDIAC OUTPUT/OXIMETRY SENSOR

MDR report key: 1122187 · Received August 15, 2008

Report

Report Number
6000002-2008-08430
Event Type
Malfunction
Date Received
August 15, 2008
Date of Event
July 15, 2008
Report Date
July 25, 2008
Manufacturer
EDWARDS LIFESCIENCE, DR
Product Code
DRS
PMA / PMN Number
K043065
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BE
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

DEVICE NOT RETURNED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT LINE DETACHED, IT WAS BROKEN BEFORE USE. NO PATIENT COMPLICATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 VIGILEO ARTERIAL PRESSURE CARDIAC OUTPUT/OXIMETRY SENSOR FLO TRAC SENSOR DRS EDWARDS LIFESCIENCE, DR MHD6 58444838

Patients

Seq Age Sex Outcome Treatment
1 UNK