FDA Adverse Event Malfunction Summary report: N

FLOTRAC

MDR report key: 18366650 · Received December 20, 2023

Report

Report Number
2015691-2023-18607
Event Type
Malfunction
Date Received
December 20, 2023
Report Date
July 18, 2024
Manufacturer
EDWARDS LIFESCIENCES, DR
Product Code
DQE
UDI-DI
00690103194586
PMA / PMN Number
K043065
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

UDI RELATED DATA QUALITY UPDATES ONLY THE FOLLOWING ARE ADDITIONAL PRODUCT CODES FOR THIS DEVICE DRS TRANSDUCER, BLOOD PRESSURE, EXTRAVASCULAR DXG COMPUTER, DIAGNOSTIC, PRE PROGRAMMED, SINGLE FUNCTION THE LOT NUMBER FOR THIS DEVICE WAS NOT PROVIDED AND IS UNKNOWN, THEREFORE, THE FULL UDI NUMBER IS NOT AVAILABLE. THE PRIMARY DI NUMBER IS (B)(4). 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. D2A COMMON DEVICE NAME CATHETER, OXIMETER, FIBEROPTIC. D2B DEVICE PRODUCT CODE DQE.

Additional Manufacturer Narrative · 0

THE PRODUCT WAS RETURNED FOR EVALUATION. THE PRODUCT EVALUATION FOUND THAT THE REPORTED ISSUE WAS NOT CONFIRMED. THERE WAS NO VISIBLE DAMAGE OR ABNORMALITY OBSERVED FROM THE ENTIRE UNIT. THERE WERE NO ERROR MESSAGES OBSERVED ON THE HEMOSPHERE MONITOR AND PRESSURE MONITOR WHEN THE SUSPECT FLOTRAC UNIT WAS CONNECTED. THE FLOTRAC DEVICE ZEROED AND SENSED PRESSURE ACCURATELY ON THE HEMOSPHERE UNIT AND THE PRESSURE MONITOR, RESPECTIVELY. PRESSURE DID NOT SHOW ANY DRIFT DURING THE OUTPUT DRIFT TESTING. INITIAL PRESSURE 150 MMHG, FINAL PRESSURE 150 MMHG FOR THE FLOTRAC SENSOR. THE DEVICE MET SPECIFICATIONS PER DRAWINGS. THE ELECTRICAL TESTING SHOWED THAT BOTH INPUT IMPEDANCE AND OUTPUT IMPEDANCE WERE WITHIN SPECIFICATIONS. THERE WAS NO DEFECT FOUND. NO ESCALATION IS REQUIRED. THIS SUPPLEMENTAL MDR IS BEING SUBMITTED DUE TO PRODUCT EVALUATION FINDINGS. SECTIONS G6, H2, H6: TYPE OF INVESTIGATION, INVESTIGATION FINDINGS, AND INVESTIGATION CONCLUSIONS HAVE BEEN UPDATED. AN ENGINEERING EVALUATION WAS INITIATED TO ASSESS FOR ANY MANUFACTURING RELATED PROCESSES WHICH COULD BE CORRELATED TO THE COMPLAINT.

Additional Manufacturer Narrative · 0

THE DEVICE HAS BEEN REQUESTED TO BE RETURNED BUT HAS NOT YET ARRIVED FOR EVALUATION. THE DEVICE HISTORY RECORD REVIEW WAS NOT COMPLETED AS THE LOT NUMBER IS UNKNOWN. ONCE THE PRODUCT EVALUATION HAS BEEN COMPLETED A SUPPLEMENTAL SUBMISSION WILL BE SENT WITH THE FINDINGS.

Description of Event or Problem · 0

IT WAS REPORTED THAT THERE WERE INACCURATE ARTERIAL BLOOD PRESSURE VALUES WITH THE PRESSURE MONITORING FLOTRAC SENSOR. THIS OCCURRED DURING PATIENT MONITORING. THE BLOOD PRESSURE VALUES ON THE PATIENT BEDSIDE MONITOR WERE 5 TO 10MMHG HIGHER THAN WHAT WAS BEING DISPLAYED ON THE HEMOSPHERE MONITOR. THERE WERE NO ERROR MESSAGES THAT DISPLAYED. THERE WAS NO ABNORMAL WAVEFORM THAT DISPLAYED. THERE WAS NO TROUBLESHOOTING OR REPLACEMENT OF THE DEVICE THAT WAS PERFORMED. THE PRESSURE MONITORING DEVICE WAS ABLE TO BE ZEROED BEFORE USE. THERE WAS NO OCCLUSION, LEAKAGE OR KINK THAT OCCURRED. THE INFORMATION REGARDING THE EXPECTED VALUES AND WHETHER THE VALUES AND THE WAVEFORM MATCHED ARE NOT KNOWN. THE PATIENT DEMOGRAPHICS WERE REQUESTED BUT ARE UNAVAILABLE. THERE WAS NO INAPPROPRIATE TREATMENT ADMINISTERED TO THE PATIENT. THE OTHER EDWARDS COMPONENTS USED IN THE MONITORING WERE RULED OUT AS SUSPECT. THERE IS NO PATIENT HARM OR INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2049776 FLOTRAC CATHETER, OXIMETER, FIBEROPTIC DQE EDWARDS LIFESCIENCES, DR MHD6S 00690103194586
2301705 FLOTRAC CATHETER, OXIMETER, FIBEROPTIC DQE EDWARDS LIFESCIENCES, DR MHD6S 00690103194586

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown