FDA Adverse Event
Malfunction
Summary report: N
PO2 MICROPROBE 200 MM WITH SMART CARD
MDR report key: 2190936
·
Received July 19, 2011
Report
- Report Number
- 9617494-2011-00006
- Event Type
- Malfunction
- Date Received
- July 19, 2011
- Report Date
- July 19, 2011
- Manufacturer
- GMS-GESELLSCHAFT FUR MEDIZINISCHE
- Product Code
- GWM
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AU
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
TO DATE, THE DEVICE INVOLVED IN THE REPORTED INCIDENT HAS NOT BEEN RECEIVED FOR EVAL. AN INVESTIGATION HAS BEEN INITIATED BASED UPON THE REPORTED INFO.
Description of Event or Problem · 1
IT WAS REPORTED THAT A HIGH NUMBER OF CC1 PROBES (PO2 MICROPROBE 200MM WITH SMART CARD) WERE SHOWING ZERO AFTER BEING IMPLANTED FOR PLASTIC SURGERY (FLAP MONITORING). IT WAS NECESSARY TO IMPLANT UP TO THREE PROBES PER PT UNTIL A VALID VALUE WAS SEEN ON THE MONITOR. THERE WAS NO PT IMPACT AS A RESULT OF THESE INCIDENTS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PO2 MICROPROBE 200 MM WITH SMART CARD | NA | GWM | GMS-GESELLSCHAFT FUR MEDIZINISCHE | 310111 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |