FDA Adverse Event Malfunction Summary report: N

ATS 2000 TOURNIQUET

MDR report key: 2192750 · Received July 20, 2011

Report

Report Number
1526350-2011-00155
Event Type
Malfunction
Date Received
July 20, 2011
Date of Event
June 1, 2011
Report Date
June 28, 2011
Manufacturer
ZIMMER SURGICAL
Product Code
KCY
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FI
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS RETURNED TO THE MANUFACTURER; HOWEVER, THE INVESTIGATION WAS NOT COMPLETED AT THE TIME OF THIS REPORT. A FOLLOW UP MEDWATCH WILL BE SUBMITTED ONCE THE INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE ZIMMER ATS 2000 CUFF DEFLATED UNEXPECTEDLY. ADDITIONAL CLINICAL FOLLOW UP WITH THE HOSPITAL INDICATED THAT THE UNIT WAS FOUND TO NOT WORK DURING ROOM SET-UP. AN ALTERNATIVE AVAILABLE DEVICE WAS USED TO START AND COMPLETE THE PROCEDURE. THERE WAS NO DELAY REPORTED. THE DEVICE WAS SENT TO THE HOSPITAL'S SERVICE DEPARTMENT WHO PROVIDED THE FOLLOWING INFORMATION: LED MESSAGE: "NO, RED DEFLATE BUTTON NEEDED TO PRESS SEVERAL TIMES BEFORE IT WOULD WORK. DEVICE FILLED RED AND BLUE PART, EVEN IF THEY DIDN'T PRESS BUTTONS AT ALL. THE GAUGES IN THE PRESSURE READINGS WERE LOWER THAN IT SHOULD BE." THERE WAS NO RESPONSE TO REQUEST FOR CUFF AND HOSE(S) TO BE RETURNED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ATS 2000 TOURNIQUET ATS 2000 TOURNIQUET KCY ZIMMER SURGICAL NA NA

Patients

Seq Age Sex Outcome Treatment
1