FDA Adverse Event Malfunction Summary report: N

VIGILEO ARTERIAL PRESSURE CARDIAC OUTPUT/OXIMETRY MONITOR

MDR report key: 1213992 · Received October 20, 2008

Report

Report Number
6000002-2008-09005
Event Type
Malfunction
Date Received
October 20, 2008
Date of Event
October 1, 2008
Report Date
October 1, 2008
Manufacturer
EDWARDS LIFESCIENCES
Product Code
DRS
PMA / PMN Number
K043065
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE NOT RETURNED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE TUBING WAS DETACHED. FOLLOW-UP WITH CUSTOMER INDICATED THAT THE DETACHED AREA WAS NEAR THE SENSOR. THERE WERE NO PATIENT COMPLICATIONS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 VIGILEO ARTERIAL PRESSURE CARDIAC OUTPUT/OXIMETRY MONITOR FLOTRAC SENSOR DRS EDWARDS LIFESCIENCES MDH6S 58560629

Patients

Seq Age Sex Outcome Treatment
1 UNK Other