FDA Adverse Event
Malfunction
Summary report: N
PORTASCANNER
MDR report key: 19728830
·
Received July 12, 2024
Report
- Report Number
- 19728830
- Event Type
- Malfunction
- Date Received
- July 12, 2024
- Date of Event
- February 20, 2024
- Report Date
- February 22, 2024
- Manufacturer
- LABORIE MEDICAL TECHNOLOGIES CORP.
- Product Code
- ITX
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MN
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
NURSE SCANNED PATIENT¿S BLADDER WITH 2MS LABORIE PORTASCAN BLADDER SCANNER WITH LARGEST VOLUME READING OF 569 ML AFTER 5 SCANS. NURSE FOLLOWED INSTRUCTIONS AND TIPS/TRICKS INCLUDING GOLF BALL SIZE AMOUNT OF GEL AND APPLIED FIRM STEADY PRESSURE WHILE ALL 12 IMAGES WERE TAKEN. PATIENT WAS STRAIGHT CATHETERIZED FOR A VOLUME OF 700ML. UNIT WAS EVALUATED BY HOSPITAL TECHNOLOGY TECHNICIAN WITH THIS CONCLUSION: UNIT IN GOOD PHYSICAL CONDITION, TESTED WITH BLADDER PHANTOM MULTIPLE TIMES AND WAS ALWAYS WITHIN THE +-15% TOLERANCE OF THE PHANTOM'S 130ML.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 275300 | PORTASCANNER | TRANSDUCER, ULTRASONIC, DIAGNOSTIC | ITX | LABORIE MEDICAL TECHNOLOGIES CORP. | MD-6000 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 78 YR | Female |