FDA Adverse Event Malfunction Summary report: N

CORDELLA¿ PULMONARY ARTERY SENSOR SYSTEM

MDR report key: 20181455 · Received September 10, 2024

Report

Report Number
3024985933-2024-00009
Event Type
Malfunction
Date Received
September 10, 2024
Date of Event
August 20, 2024
Report Date
May 15, 2025
Manufacturer
ENDOTRONIX, INC
Product Code
MOM
UDI-DI
00850008997006
PMA / PMN Number
P230040
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION WILL BE SUBMITTED VIA FOLLOW-UP REPORT WITHIN 30 DAYS OF RECEIPT.

Additional Manufacturer Narrative · 0

CORRECTED DATA: SECTION G3: INITIAL REPORT DATE RECEIVED BY MANUFACTURER.

Additional Manufacturer Narrative · 0

(H3) THE SENSOR WAS NOT RETURNED FOR EVALUATION AS IT REMAINS IMPLANTED. THE DEVICE HISTORY RECORD (DHR) FOR THE SENSOR LOT WAS REVIEWED AND IT WAS CONFIRMED THAT ALL MANUFACTURING OPERATIONS AND INSPECTIONS WERE PERFORMED, ALL ACCEPTANCE CRITERIA WERE MET, AND NO RELEVANT NONCONFORMANCES WERE ASSOCIATED WITH THE SENSOR LOT AT THE TIME OF MANUFACTURE. THE PATIENT UNDERWENT A RIGHT HEART CATHETERIZATION (RHC) RECALIBRATION THREE YEARS AFTER IMPLANT WHICH CONFIRMED THAT THE SENSOR ACCURACY FALLS WITHIN THE ACCEPTABLE BETWEEN THE CORDELLA SYSTEM AND FLUID-FILLED REFERENCE MEASUREMENT. AS A RESULT, THE REPORTED INACCURATE MEASUREMENT ALLEGATION WAS NOT CONFIRMED.

Description of Event or Problem · 0

SENSOR INACCURACY WAS SUSPECTED. PATIENT UNDERWENT REGULARLY SCHEDULED RECALIBRATION TO DETERMINE IF AN ADJUSTMENT WAS NEEDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
221702 CORDELLA¿ PULMONARY ARTERY SENSOR SYSTEM PULMONARY ARTERY SENSOR MOM ENDOTRONIX, INC 00850008997006

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown