FDA Adverse Event Malfunction Summary report: N

PICO70

MDR report key: 11542063 · Received March 22, 2021

Report

Report Number
3002807968-2021-00008
Event Type
Malfunction
Date Received
March 22, 2021
Date of Event
March 3, 2021
Report Date
March 22, 2021
Manufacturer
RADIOMETER MEDICAL APS
Product Code
JKA
PMA / PMN Number
K962158
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
DA
Reporter Occupation
003

Narratives

Description of Event or Problem · 1

RADIOMETER HAS BECOME AWARE OF AN ISSUE WITH PICO70 ARTERIAL BLOOD SAMPLER. THE ISSUE RELATES TO THE STERILE BARRIER SYSTEM FOR THE PRODUCT. DURING INTERNAL STRESS TESTING ON PICO70 ARTERIAL BLOOD SAMPLERS A BREACH IN THE STERILE BARRIER SYSTEM WAS OBSERVED IN ONE SAMPLE .THE PROBLEM HAS ONLY BEEN OBSERVED INTERNALLY DURING TESTING. RADIOMETER HAS ON 2021-03-18 INITIATED A RECALL WITH RADIOMETER REF. FAN 915-415 OF ALL PICO70 BLOOD SAMPLERS. A CORRECTION AND REMOVAL REPORT WILL BE SUBMITTED TO THE FDA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
435532 PICO70 PICO70 JKA RADIOMETER MEDICAL APS 956-519, 956-522 & 956-533

Patients

Seq Age Sex Outcome Treatment
1