FDA Adverse Event
Malfunction
Summary report: N
SENSATION PLUS 7.5FR 40CC
MDR report key: 16014389
·
Received December 20, 2022
Report
- Report Number
- 16014389
- Event Type
- Malfunction
- Date Received
- December 20, 2022
- Date of Event
- October 21, 2022
- Report Date
- October 28, 2022
- Manufacturer
- DATASCOPE CORP.
- Product Code
- DSP
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- WI
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
IABP WITH OPTICAL SENSOR FAILURE ALARM, TROUBLESHOOTING UNSUCCESSFUL TO RESOLVE ALARM. GETINGE TECHNICAL SUPPORT NOTIFIED, NO ADDITIONAL TROUBLESHOOTING OPTIONS OR SOLUTIONS PRESENTED. IABP CONTINUES TO RUN NORMALLY. NO PRECIPITATING FACTORS IDENTIFIED PRIOR TO SENSOR FAILURE ALARM. PER GETINGE CLINICAL SUPPORT, THEY WOULD LIKE TO HAVE THIS BALLOON SENT BACK TO COMPANY FOR FURTHER EVALUATION / DIAGNOSTICS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2701599 | SENSATION PLUS 7.5FR 40CC | SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL | DSP | DATASCOPE CORP. | 30002426540003 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 26280 DA | Male |