FDA Adverse Event
Malfunction
Summary report: N
SOPHYSA
MDR report key: 14111305
·
Received April 14, 2022
Report
- Report Number
- 3001587388-2022-22187
- Event Type
- Malfunction
- Date Received
- April 14, 2022
- Date of Event
- March 28, 2022
- Report Date
- April 14, 2022
- Manufacturer
- SOPHYSA
- Product Code
- GWM
- PMA / PMN Number
- K162108
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- PHARMACIST
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
DEVICE IMPLANTED FOR INTRACRANIAL PRESSURE MONITORING. HEALTH PROFESSIONAL REPORTED AN IMPORTANT SPONTANEOUS VARIATION IN ICP VALUES DISPLAYED ON THE MONITORING SCREEN WITHOUT ANY STIMULATION. THE VALUES INCREASED FROM NORMAL ICP VALUE (>20MMHG) TO OVER 100MMHG. THE REPORT ALSO STATES THAT THE PATIENT'S CLINICAL STATE DOES NOT CORRESPOND TO ICP VALUES. A SCAN DID NOT FIND ARGUMENTS FOR IC HYPERTENSION. THE INCIDENT RESULTED IN PROLONGED STAY IN HOSPITAL (REANIMATION). THE DEVICE WAS EXPLANTED AND REPLACED. THIS INCIDENT IS DUPLICATED FOR 5 OTHER DEVICES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 107893 | SOPHYSA | PSO-PT | GWM | SOPHYSA | PSO-PT |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | Hospitalization| O |