FDA Adverse Event Malfunction Summary report: N

TEMPUS PRO

MDR report key: 15322921 · Received August 30, 2022

Report

Report Number
3003832357-2022-00024
Event Type
Malfunction
Date Received
August 30, 2022
Date of Event
August 3, 2022
Manufacturer
REMOTE DIAGNOSTIC TECHNOLOGIES (RDT)
Product Code
MHX
UDI-DI
05060472441027
PMA / PMN Number
K201746
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Description of Event or Problem · 0

AS DESCRIBED BY THE CUSTOMER 'MONITOR TENDS TO GIVE INACCURATE 02 SAT READINGS. THE TEMPUS WILL GIVE A READING OF SAY 70% WHEN THE PATIENT'S PRESENTATIONS SIMPLY DOESN'T REFLECT. THE CREWS ADVISE ME THAT THEY WILL CHANGE OVER TO ONE OF OUR PORTABLE O2 SAT MONITORS AND GET A READING IN THE 90'S' .THE DEVICE RETURN IS PLANNED TO DO AN INVESTIGATION AND ROOT CAUSE ANALYSIS.

Description of Event or Problem · 0

"AS DESCRIBED BY THE CUSTOMER 'MONITOR TENDS TO GIVE INACCURATE 02 SAT READINGS. THE TEMPUS WILL GIVE A READING OF SAY 70% WHEN THE PATIENT'S PRESENTATIONS SIMPLY DOESN'T REFLECT. THE CREWS ADVISE ME THAT THEY WILL CHANGE OVER TO ONE OF OUR PORTABLE O2 SAT MONITORS AND GET A READING IN THE 90'S. I HAVE ALSO RECEIVED REPORTS OF FLUCTUATING HEART RATES. THE MONITOR WILL DISPLAY A HEART RATE OF SAY 20 TO 30, WHEN THE PATIENT'S PALPABLE PULSE IS 60-70. WE HAVE CHECKED TO ENSURE THAT THE HEART RATE IS READING OFF OF THE ECG AND NOT THE O2 SAT PLETH THINKING THIS COULD HAVE BEEN THE REASON FOR THE INACCURATE RATES. SCREEN HAS ALSO FROZEN AT TIMES. THE DEVICE LOG FILES WAS INVESTIGATED BY RDT AND NO PROBLEM WAS FOUND. THE DEVICE HOWEVER REPORTED THAT THE SPO2 HAD 23 INCIDENTS OF THE 'PULSE OX SENSOR OFF PATIENT ' ERRORS THROUGH OUT THE LOGS. THIS COULD BE AN INDICATION THAT THIS CABLE WAS BEING USED INCORRECTLY OR THERE IS A FAULT WITH THE CABLE. IT IS RECOMMENDED THAT CUSTOMER BE SUPPLIED WITH A NEW ECG AND SPO2 CABLE. THE CUSTOMER SHOULD NOTIFY RDT IF THE PROBLEM PERSISTS WITH THE NEW CABLES."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
243544 TEMPUS PRO MONITOR, PHYSIOLOGICAL, PATIENT(WITH ARRHYTHMIA DETECTION OR ALARMS) MHX REMOTE DIAGNOSTIC TECHNOLOGIES (RDT) 00-1024-R 05060472441027

Patients

Seq Age Sex Outcome Treatment
1 Unknown Other