FDA Adverse Event Malfunction Summary report: N

PORTEX PRESSUREEASY CUFF PRESSURE MONITOR

MDR report key: 13862748 · Received March 23, 2022

Report

Report Number
3012307300-2022-05071
Event Type
Malfunction
Date Received
March 23, 2022
Date of Event
February 21, 2022
Report Date
March 22, 2022
Manufacturer
ST PAUL
Product Code
BXR
PMA / PMN Number
K873498
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ONE DEVICE WAS RECEIVED FOR EVALUATION IN RELATION TO THE REPORTED EVENT. SENSORY INSPECTION OF THE DEVICE WAS UNABLE TO CONFIRM THE REPORTED EVENT. REPORTED UNUSUAL ODOR WAS NOT NOTICED. ROOT CAUSE WAS UNABLE TO BE DETERMINED AS THE REPORTED EVENT WAS NOT CONFIRMED. A DHR REVIEW WAS NOT PERFORMED AS IT WAS NOT NECESSARY FOR THE INVESTIGATION OF THE REPORTED EVENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT UPON OPENING THE DEVICE HAD A BAD SMELL. THERE WAS NO ADDITIONAL INFORMATION PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
990211 PORTEX PRESSUREEASY CUFF PRESSURE MONITOR METER, AIRWAY PRESSURE (INSPIRATORY FORCE) BXR ST PAUL 4180778

Patients

Seq Age Sex Outcome Treatment
1 Unknown