FDA Adverse Event Malfunction Summary report: N

TRUWAVE DISPOSABLE PRESSURE TRANSDUCER

MDR report key: 1823103 · Received September 1, 2010

Report

Report Number
2015691-2010-13990
Event Type
Malfunction
Date Received
September 1, 2010
Date of Event
July 29, 2010
Report Date
August 4, 2010
Manufacturer
EDWARDS LIFESCIENCES DR
Product Code
DXO
PMA / PMN Number
K925638
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

EVALUATION SUMMARY: THE CUSTOMER REPORTED DEFECT WAS NOT CONFIRMED. THE TRIPLE KIT WAS RETURNED AND ALL DISPOSABLE PRESSURE TRANSDUCERS ZEROED AND SENSED PRESSURE. DURING 8 HOURS TESTING, THE PRESSURE DID NOT SHOW ANY DRIFT AND WAS WITHIN SPECIFICATIONS. ELECTRICAL TESTING SHOWED THAT BOTH INPUT AND OUTPUT IMPEDANCE WERE WITHIN SPECIFICATIONS. ZERO-OFFSET ALSO MET SPECIFICATION PER DIRECTIONS FOR USE. NO VISIBLE DEFECTS WERE FOUND AT THE SUPERCOMAL CABLE CONNECTORS.

Description of Event or Problem · 1

REPORTEDLY, THE PRESSURE BASE LINE IS UNSTABLE. AFTER ZEROING, THE PRESSURE SIGNAL INCREASED CONTINUOUSLY SO, IT WAS RE-ZEROED, WHICH DID NOT CORRECT THE ISSUE. AFTER THE DPT WAS CHANGED OUT FOR A NEW ONE, THEN THE SIGNAL WAS STABLE. NO PATIENT INJURY WAS REPORTED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE RIGHT ATRIAL LEAD HAD APPARENT CONDUCTOR FRACTURE. THE LEAD WAS NOTED TO HAVE BEEN UNIPOLARIZED. THE LEAD WAS REMOVED AND REPLACED. DURING THE IMPLANT ATTEMPT OF THE NEW LEAD, IT WAS REPORTED THAT THE STYLET BECAME KINKED IN THE LEAD AND THERE WAS DIFFICULTY REMOVING THE STYLET FROM THE LEAD. THE LEAD WAS NOT USED. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TRUWAVE DISPOSABLE PRESSURE TRANSDUCER DISPOSABLE PRESSURE TRANSDUCER DXO EDWARDS LIFESCIENCES DR PX3X3 UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1