FDA Adverse Event Injury Summary report: N

CORDELLA¿ PULMONARY ARTERY SENSOR SYSTEM

MDR report key: 20181457 · Received September 10, 2024

Report

Report Number
3024985933-2024-00006
Event Type
Injury
Date Received
September 10, 2024
Date of Event
August 14, 2024
Report Date
May 15, 2025
Manufacturer
ENDOTRONIX, INC
Product Code
MOM
UDI-DI
00850008997006
PMA / PMN Number
P230040
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H3: THE SENSOR WAS NOT RETURNED FOR EVALUATION AS IT REMAINS IMPLANTED. THE PATIENT UNDERWENT RECALIBRATION 1 YEAR AND 8 MONTHS AFTER IMPLANT, WHICH CONFIRMED THAT THE SENSOR WAS PERFORMING AS INTENDED AND WITHIN EXPECTED ACCURACY LIMITS, E.G. WITHIN THE PREDICTED 3-YEAR LIMITS OF AGREEMENT BETWEEN THE CORDELLA SYSTEM AND FLUID-FILLED REFERENCE MEASUREMENT. AS A RESULT, THE REPORTED INACCURATE MEASUREMENT ALLEGATION WAS NOT CONFIRMED.

Additional Manufacturer Narrative · 0

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

Additional Manufacturer Narrative · 0

UPDATED SECTION(S): G6 AND H3: SECTION B5: ADDITIONAL INFORMATION RECEIVED INDICATES THAT A RIGHT HEART CATHETERIZATION (RHC) WAS PERFORMED TO CONFIRM THE ACCURACY OF THE PRESSURE SENSOR AGAINST A REFERENCE PRESSURE. IT WAS NOTED THAT THE SENSOR CALIBRATION WAS WITHIN THE FLUID FILLED LIMITS OF AGREEMENT; THEREFORE, NO ADJUSTMENT WAS REQUIRED. HOWEVER, AN OFFSET ADJUSTMENT OF 1.8 MMHG WAS CONDUCTED TO FINE TUNE THE SENSOR ACCURACY AS PART OF THE RECAL. ADDITIONAL INFORMATION WILL BE SUBMITTED VIA FOLLOW-UP REPORT WITHIN 30 DAYS OF RECEIPT.

Additional Manufacturer Narrative · 0

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

Description of Event or Problem · 0

THE SITE REPORTED SUSPECTED SENSOR INACCURACY. THE PATIENT WILL NEED RECALIBRATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
221704 CORDELLA¿ PULMONARY ARTERY SENSOR SYSTEM PULMONARY ARTERY SENSOR MOM ENDOTRONIX, INC 00850008997006

Patients

Seq Age Sex Outcome Treatment
1 NA Male Required Intervention