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 |