FDA Adverse Event
Malfunction
Summary report: N
TEMPUS PRO
MDR report key: 20095201
·
Received August 29, 2024
Report
- Report Number
- 3003832357-2024-00647
- Event Type
- Malfunction
- Date Received
- August 29, 2024
- Date of Event
- August 10, 2024
- Report Date
- October 3, 2024
- Manufacturer
- REMOTE DIAGNOSTIC TECHNOLOGIES LTD.
- Product Code
- MHX
- UDI-DI
- 05060472441027
- PMA / PMN Number
- K201746
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WA, US
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
IT WAS REPORTED THAT THE ETCO2 PORT FELT LOOSE. WHEN SCREWED IN, THE PUMP WILL NOT START TO ACQUIRE READINGS AND SCREEN READS CAPNOMETER FILTER LINE NOT CONNECTED. THE DEVICE WAS REPORTED TO BE IN USE, BUT NO ADVERSE EVENT TO THE PATIENT WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1096627 | TEMPUS PRO | MONITOR, PHYSIOLOGICAL, PATIENT(WITH ARRHYTHMIA DETECTION OR ALARMS) | MHX | REMOTE DIAGNOSTIC TECHNOLOGIES LTD. | 00-1024-R | 05060472441027 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |