FDA Adverse Event Malfunction Summary report: N

INVIVO CORPORATION

MDR report key: 1380646 · Received March 10, 2009

Report

Report Number
1051786-2009-00003
Event Type
Malfunction
Date Received
March 10, 2009
Report Date
February 9, 2009
Manufacturer
INVIVO CORPORATION
Product Code
DRT
PMA / PMN Number
K974581
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MT, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

ACCORDING TO THE INITIAL REPORTER (THE USER FACILITY'S CLINICAL ENGINEER), THE USER FACILITY FIRST TRIED REPLACING THE DEVICE'S POWER SUPPLY BOARD, BUT THIS DID NOT RECTIFY THE NO SOUND CONDITION. PER DISCUSSIONS HELD WITH THE USER FACILITY'S CLINICAL ENGINEER, THE USER FACILITY DECIDED TO SCRAP THE DEVICE DUE TO THE COST OF REPLACING ADDITIONAL BOARDS OR SENDING IT IN FOR REPAIR. AS A RESULT, THERE IS NO OPPORTUNITY FOR THE MANUFACTURER TO EVALUATE THE DEVICE IN QUESTION IN ORDER TO CONFIRM THAT AN ACTUAL MALFUNCTION HAD OCCURRED OR TO DETERMINE THE CAUSE OF THE REPORTED PROBLEM. WHILE THE DEVICE DISPLAY PROVIDES VISUAL INDICATORS OF ALARMS OCCURRING, THE DEVICE LABELING DOES NOT REPRESENT THAT DISPLAY DATA IS CONTINUOUSLY MONITORED BY STAFF. IN THE PRESENCE OF LIFE-THREATENING EVENTS WHEN NO SOUND IS AUDIBLE, AND NO STAFF MEMBER IS CONTINUOUSLY MONITORING THE DISPLAY, SERIOUS INJURY AND/OR DEATH CAN OCCUR.

Description of Event or Problem · 1

USER FACILITY REPORTED TO THE MANUFACTURER THAT THEY WERE NOT RECEIVING ANY ALARM TONES FROM THE DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INVIVO CORPORATION MILLENIA PATIENT MONITOR DRT INVIVO CORPORATION 3500

Patients

Seq Age Sex Outcome Treatment
1