FDA Adverse Event Injury Summary report: N

DISPOSABLE PATIENT PROBE

MDR report key: 2428635 · Received January 23, 2012

Report

Report Number
1121732-2012-00001
Event Type
Injury
Date Received
January 23, 2012
Date of Event
November 22, 2011
Report Date
December 29, 2011
Manufacturer
OHMEDA MEDICAL
Product Code
FMZ
PMA / PMN Number
K010222
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

THE 510 (K) NUMBER PROVIDED IS FOR THE GIRAFFE INCUBATOR. THE TEMPERATURE PROBE DOES NOT HAVE ITS OWN 510 (K) NUMBER. THERE ARE MULTIPLE PROBES INVOLVED. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT SOME INFANTS SHOWED CLINICAL SIGNS OF DEHYDRATION REQUIRING MEDICAL INTERVENTION FOR ELECTROLYTE AND UREA IMBALANCE. THE NURSING STAFF WAS REPORTEDLY NOT USING THE RECOMMENDED REFLECTIVE PATCHES WITH THE GIRAFFE SKIN TEMPERATURE PROBES AND WERE WITHDRAWING HUMIDITY THERAPY WITHIN THE GIRAFFE INCUBATOR AT AN ACCELERATED RATE DUE TO INACCURATE SKIN TEMPERATURE READINGS. THE TEMPERATURE PROBES WERE REPORTEDLY NOT PROPERLY ADHERED TO THE INFANTS' SKIN WHICH MAY HAVE BEEN A FACTOR IN THE INACCURATE SKIN TEMPERATURE READINGS. THERE WAS NO PERMANENT INJURY OR DEATH REPORTED. GE HEALTHCARE'S INVESTIGATION IS ONGOING. A F/U REPORT WILL BE SUBMITTED ONCE THE INVESTIGATION HAS BEEN COMPLETED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DISPOSABLE PATIENT PROBE TEMPERATURE PROBE FMZ OHMEDA MEDICAL GDPPM0601

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention