FDA Adverse Event Malfunction Summary report: N

FLOTRAC, VAMP

MDR report key: 17970672 · Received October 19, 2023

Report

Report Number
2015691-2023-16936
Event Type
Malfunction
Date Received
October 19, 2023
Date of Event
October 1, 2023
Report Date
July 19, 2024
Manufacturer
EDWARDS LIFESCIENCES DR
Product Code
DXG
UDI-DI
00690103194722
PMA / PMN Number
K043065
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NV, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A DEVICE HISTORY RECORD REVIEW WAS COMPLETED AND DOCUMENTED THAT DEVICE MET ALL SPECIFICATIONS UPON DISTRIBUTION. COMPLAINT HISTORIES FOR ALL REPORTED EVENTS ARE REVIEWED AGAINST TRENDING CONTROL LIMITS ON A MONTHLY BASIS AND ANY EXCURSIONS ABOVE THE CONTROL LIMITS ARE ASSESSED AND DOCUMENTED AS A PART OF THE MONTHLY REVIEW.

Additional Manufacturer Narrative · 0

THE DEVICE WAS DISCARDED AT HOSPITAL. WITHOUT RETURN OF THE UNIT, IT IS NOT POSSIBLE TO DETERMINE IF SOME DAMAGE OR DEFECT EXISTED ON THE UNIT THAT COULD HAVE CONTRIBUTED TO THE EVENT. FURTHER EVALUATION REGARDING RELATED QUALITY ISSUES IS UNDER INVESTIGATION. COMPLAINT HISTORIES FOR ALL REPORTED EVENTS ARE REVIEWED AGAINST TRENDING CONTROL LIMITS ON A MONTHLY BASIS AND ANY EXCURSIONS ABOVE THE CONTROL LIMITS ARE ASSESSED AND DOCUMENTED AS A PART OF THE MONTHLY REVIEW.

Additional Manufacturer Narrative · 0

UDI RELATED DATA QUALITY UPDATES ONLY. THE FOLLOWING ARE ADDITIONAL PRODUCT CODES FOR THIS DEVICE: DRS : TRANSDUCER, BLOOD-PRESSURE, EXTRAVASCULAR. DQE : CATHETER, OXIMETER, FIBEROPTIC . THE FOLLOWING IS CORRECTED DATA, AS THE ORIGINAL IDENTIFICATION INFORMATION SENT DID NOT MATCH THE DATA SUBMITTED TO THE GLOBAL UNIQUE DEVICE IDENTIFICATION DATABASE (GUDID): D1 BRAND NAME: FLOTRAC, VAMP. D2A COMMON DEVICE NAME: COMPUTER, DIAGNOSTIC, PRE-PROGRAMMED, SINGLE-FUNCTION. D2B DEVICE PRODUCT CODE: DXG.

Description of Event or Problem · 0

IT WAS REPORTED THAT A FLOTRAC DEVICE HAD INACCURATE BLOOD PRESSURE VALUES. FLOTRAC WAS ATTACHED TO A HEMOSPHERE AND NON EDWARDS BEDSIDE MONITOR, GE HEALTHCARE. CLINICIAN NOTED THAT THE FLOTRAC DISPLAYED UNEXPECTED SPIKES IN THE BLOOD PRESSURE READINGS. EXCHANGING THE DEVICE RESOLVED THE ISSUE. NO PATIENT INJURIES. USED DEVICE WAS DISCARDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2331012 FLOTRAC, VAMP COMPUTER, DIAGNOSTIC, PRE-PROGRAMMED, SINGLE-FUNCTION DXG EDWARDS LIFESCIENCES DR MHD6AZ 64922040 00690103194722
241646 FLOTRAC, VAMP COMPUTER, DIAGNOSTIC, PRE-PROGRAMMED, SINGLE-FUNCTION DXG EDWARDS LIFESCIENCES DR MHD6AZ 64922040 00690103194722

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown