FDA Adverse Event
Malfunction
Summary report: N
SHERLOCK 3CG SENSOR (RADEL)
MDR report key: 12060447
·
Received June 24, 2021
Report
- Report Number
- 3006260740-2021-02441
- Event Type
- Malfunction
- Date Received
- June 24, 2021
- Date of Event
- June 1, 2021
- Report Date
- June 4, 2021
- Manufacturer
- C.R. BARD, INC. (BASD) -3006260740
- Product Code
- LJS
- UDI-DI
- 00801741163043
- PMA / PMN Number
- K061240
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IA, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE HAS NOT BEEN RECEIVED BY THE MANUFACTURER FOR EVALUATION. A HISTORY REVIEW OF SERIAL NUMBER (B)(4) SHOWED NO OTHER SIMILAR PRODUCT COMPLAINT(S) FROM THIS SERIAL NUMBER.
Description of Event or Problem · 1
PER BIOMED: DOES NOT PICK UP AND SPIKE MY P WAVES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 955453 | SHERLOCK 3CG SENSOR (RADEL) | CATHETER,INTRAVASCULAR,THERAPEUTIC,LONG-TERM GREATER THAN 30 DAYS | LJS | C.R. BARD, INC. (BASD) -3006260740 | 9770352 | 00801741163043 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |