FDA Adverse Event Other Summary report: N

TERUMO CDI 500 BLOOD PARAMETER MONITOR

MDR report key: 1728836 · Received June 16, 2010

Report

Report Number
1828100-2010-00572
Event Type
Other
Date Received
June 16, 2010
Date of Event
May 24, 2010
Report Date
June 16, 2010
Manufacturer
TERUMO CARDIOVASCULAR SYSTEMS CORP.
Product Code
DRY
PMA / PMN Number
K972962
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

EVALUATION IN PROGRESS, BUT NOT YET CONCLUDED.

Description of Event or Problem · 1

DURING ROUTINE TESTING OF THE DEVICE AT THE SERVICE CENTER, THE SERVICE TECHNICIAN FOUND THAT A PROBE ON THE DEVICE FAILED THE MANUFACTURER SELF-TEST. SINCE THIS EVENT OCCURRED AT THE SERVICE CENTER, THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TERUMO CDI 500 BLOOD PARAMETER MONITOR ON LINE BLOOD GAS MONITOR DRY TERUMO CARDIOVASCULAR SYSTEMS CORP. 500AHCT

Patients

Seq Age Sex Outcome Treatment
1