FDA Adverse Event Malfunction Summary report: N

CARDELLA¿ PULMONARY ARTERY SENSOR SYSTEM

MDR report key: 23108764 · Received September 22, 2025

Report

Report Number
3024985933-2025-00029
Event Type
Malfunction
Date Received
September 22, 2025
Date of Event
August 29, 2025
Report Date
December 9, 2025
Manufacturer
ENDOTRONIX, INC
Product Code
MOM
PMA / PMN Number
P230040
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE FOLLOWING SECTIONS WERE UPDATED/CORRECTED/ADDED: A2, A3, A4, B4, B5, G3, G6, H2, H6, & H11. H2: EVALUATION SUMMARY: THE SENSOR WAS NOT RETURNED FOR EVALUATION AS IT REMAINED IMPLANTED IN THE PATIENT. 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 WITH RECALIBRATION WHICH CONFIRMED THAT THE SYSTEM WAS PERFORMING AS INTENDED AND WITHIN THE EXPECTED ACCURACY LIMITS. AS A RESULT, THE EVENT WAS NOT CONFIRMED. BASED ON THE INFORMATION PROVIDED, NO FURTHER CORRECTIVE OR PREVENTATIVE ACTIONS ARE REQUIRED AT THIS TIME.

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 PATIENT UNDERWENT RIGHT HEART CATHETERIZATION WITH SENDOR RECALIBRATION ON (B)(6) 2025.

Description of Event or Problem · 0

THE PATIENT'S DATA WAS REVIEWED BY ENDOTRONIX'S INTERNAL MONITORING PROGRAM AND SUSPECTED SENSOR INACCURACY WAS IDENTIFIED. THE SITE HAS BEEN INFORMED TO SCHEDULE A RECALIBRATION. THE PATIENT IS SCHEDULED TO UNDERGO A RIGHT HEART CATHETERIZATION (RHC) AND RECALIBRATION ON (B)(6) 2025.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2535119 CARDELLA¿ PULMONARY ARTERY SENSOR SYSTEM PULMONARY ARTERY SENSOR MOM ENDOTRONIX, INC 100303-05 E221031-01

Patients

Seq Age Sex Outcome Treatment
1 64 YR Female Other