FDA Adverse Event
Malfunction
Summary report: N
SOPHYSA
MDR report key: 15137284
·
Received August 1, 2022
Report
- Report Number
- 3001587388-2022-22311
- Event Type
- Malfunction
- Date Received
- August 1, 2022
- Date of Event
- June 3, 2022
- Report Date
- August 1, 2022
- Manufacturer
- SOPHYSA
- Product Code
- GWM
- PMA / PMN Number
- K162108
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- PHARMACIST
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
THE SURGEON IMPLANTED THE CATHETER ON (B)(6) 2022, AND THE VALUE SHOWED NORMAL IN THE NEXT SEVEN DAYS.ON (B)(6) 2022, THE SURGEON FOUND THAT THE VALUE JUMPED BETWEEN 6-38MMHG. THE USER THOUGHT THE MONITORING VALUE WAS INACCURATE AND REPORTED THE CATHETER AS AN ADVERSE EVENT. THIS CATHETER HAS BEEN DISCARDED BY THE HOSPITAL. NO HEALTH CONSEQUENCES WERE REPORTED TO HAVE HAPPEND ON THE PATIENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2457398 | SOPHYSA | PSO-PBT | GWM | SOPHYSA | PSO-PBT |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Female | Other |