FDA Adverse Event Malfunction Summary report: N

SENSICA UO MONITOR ICU

MDR report key: 11646230 · Received April 9, 2021

Report

Report Number
1018233-2021-80030
Event Type
Malfunction
Date Received
April 9, 2021
Report Date
April 9, 2021
Manufacturer
ADAPTEC MEDICAL DEVICES LLC 3014271001
Product Code
EXS
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE REPORTED EVENT WAS CONFIRMED HOWEVER THE CAUSE WAS UNKNOWN. THE ROOT CAUSE OF THE REPORTED ISSUE COULD BE DUE TO AN ERROR, 1.1 A CRITICAL TEMPLATE FILE THAT DID NOT PROPERLY DOWNLOAD DURING INSTALLATION. IT WAS FOUND THAT DURING ORIGINAL INSTALLATION OF SW VERSION 1.1 THAT A CRITICAL TEMPLATE FILE FOR THE ELECTRONIC HEALTH RECORD (EHR) CONNECTIVITY WAS NOT PRESENT. VERSION 1.1 WAS RE-INSTALLED AND MADE SURE THAT THE PROPER TEMPLATE FILE WAS DOWNLOADED CORRECTLY. SERVICING OF THE UNIT WAS PERFORMED PER TEST PROCEDURE. THE DEVICE FUNCTIONED PROPERLY AND WAS READY FOR USE. 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: "THE SENSICA UO SYSTEM FOR ICU IS DESIGNED FOR PRECISE MEASUREMENT USING THE DISPOSABLE, SENSICA UO RING, WHICH IS PART OF THE SENSICA UO PATIENT RING KIT. EACH TIME THE SYSTEM IS USED WITH A NEW PATIENT, A NEW SENSICA UO RING MUST BE CONNECTED TO THE SENICA UO STAND. THE SYSTEM SOFTWARE IS DESIGNED TO CALIBRATE EACH TIME A NEW RING IS ATTACHED TO ENSURE ACCURATE CALCULATIONS OF URINE OUTPUT VOLUME."

Description of Event or Problem · 1

IT WAS REPORTED THAT THERE WAS AN ELECTRONIC HEALTH RECORDS (EHR) SETTING ISSUE WITH THE SENSICA DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
542984 SENSICA UO MONITOR ICU SENSICA UO MONITOR EXS ADAPTEC MEDICAL DEVICES LLC 3014271001 NA

Patients

Seq Age Sex Outcome Treatment
1