FDA Adverse Event Malfunction Summary report: N

BBS REVOLUTION

MDR report key: 22519060 · Received July 16, 2025

Report

Report Number
22519060
Event Type
Malfunction
Date Received
July 16, 2025
Date of Event
June 25, 2025
Report Date
July 10, 2025
Manufacturer
DBMEDX, INC.
Product Code
IYO
Product Problem
Yes
Report Source
User Facility report
Reporter Location
MN
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Description of Event or Problem · 0

EXAMPLE #1: BLADDER SCANNER RESULTS APPEAR INACCURATE. PT HAVING URINARY URGENCY AND RETENTION (CHRONIC AND ACUTE). IMPORTANT TO MONITOR RESIDUAL BLADDER VOLUMES TO ASSESS PATIENT CONDITION AND CURRENT TREATMENT PLAN. ORDER TO STRAIGHT CATHETERIZE PATIENT IF POST VOID RESIDUAL GREATER THAN 400ML. NO STRAIGHT CATHS HAVE BEEN PERFORMED AS BLADDER SCANNER READER HAS NOT RESULTED IN A PVR [POST-VOID RESIDUAL] GREATER THAN 400ML. ALL READINGS FROM BLADDER SCAN HAVE BEEN LESS THAN 200ML. PT SHOWING SYMPTOMS OF INCREASED RESTLESSNESS, BLADDER SPASMS, PAIN AND SIGNS OF URINARY RETENTION. BLADDER SCAN SHOWED 32ML IN BLADDER AT 2300 [DATE REDACTED]. MULTIPLE PERSONS, MULTIPLE SCANS AND TROUBLESHOOTING TO ENSURE PROPER USE OF BLADDER SCAN. MD AWARE. PT WAS STRAIGHT CATHED WITH 300ML OUTPUT, INSTANT RELIEF OF SYMPTOMS AND PAIN. EXAMPLE #2: BLADDER SCANNER IS PRODUCING INACCURATE READINGS, DELAYED TREATMENT OF URINARY RETENTION. BLADDER SCANNED 434 CCS OF URINE AT 20:13 AND AT 22:06 BLADDER SCANNER SHOWED 284 CCS OF URINE. RN AGAIN RESCANNED AT 22:20 AND FOUND 461 CC'S OF URINE. RN STRAIGHT CATH-ED PATIENT AT 22:20 AND 1,100 CC'S OF URINE WAS FOUND IN THE BLADDER. SHOWING A HUGE DIFFERENCE. RECAP: IT APPEARS THERE IS WIDESPREAD FRUSTRATION ACROSS THE ORGANIZATION WITH THE PERFORMANCE OF THE SCANNERS, PARTICULARLY AROUND ACCURACY AND RELIABILITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
151278 BBS REVOLUTION SYSTEM, IMAGING, PULSED ECHO, ULTRASONIC IYO DBMEDX, INC. PD-020-0019

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown