FDA Adverse Event Malfunction Summary report: N

FORESIGHT IQ

MDR report key: 24782754 · Received April 3, 2026

Report

Report Number
2015691-2026-13831
Event Type
Malfunction
Date Received
April 3, 2026
Date of Event
March 12, 2026
Report Date
April 27, 2026
Manufacturer
EDWARDS LIFESCIENCES IRVINE
Product Code
DQE
UDI-DI
00690103219616
PMA / PMN Number
K242451
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

PER REVIEW OF THE IMAGES PROVIDED BY THE CUSTOMER, IT'S CONFIRMED IMAGE 1 SHOWS HEMOSPHERE ALTA MONITOR DISPLAYING FORESIGHT THB AS 6.8G/DL AND IMAGE 2 SHOWS ARTERIAL BLOOD GAS RESULTS WITH HB CPB AS 8.5G/DL. THE DEVICE WAS NOT RETURNED FOR EVALUATION. WITHOUT THE RETURN OF THE UNIT, IT IS NOT POSSIBLE TO DETERMINE IF SOME DAMAGE OR DEFECT EXISTED ON THE UNIT THAT COULD HAVE CONTRIBUTED TO THE EVENT. IT IS NOT KNOWN IF SOME PROCEDURAL FACTORS MAY HAVE CONTRIBUTED TO THE EVENT. A DEVICE HISTORY RECORD REVIEW WAS UNABLE TO BE COMPLETED AS THE LOT NUMBER WAS NOT PROVIDED.

Additional Manufacturer Narrative · 0

ADDITIONAL FDA PRODUCT CODES INCLUDE: DSB, PLETHYSMOGRAPH, IMPEDANCE. DXN, SYSTEM, MEASUREMENT, BLOOD-PRESSURE, NON-INVASIVE. FLL, CONTINUOUS MEASUREMENT THERMOMETER. MUD, OXIMETER, TISSUE SATURATION. QAQ, ADJUNCTIVE PREDICTIVE CARDIOVASCULAR INDICATOR. QEM, CEREBRAL OXIMETER. QMS, ADJUNCTIVE OPEN LOOP FLUID THERAPY RECOMMENDER. QNL, MEDIUM-TERM ADJUNCTIVE PREDICTIVE CARDIOVASCULAR INDICATOR. THE DEVICE EVALUATION IS ANTICIPATED. A SUPPLEMENTAL REPORT WILL BE FORTHCOMING WHEN THE INVESTIGATION IS COMPLETED. COMPLAINT HISTORIES FOR ALL REPORTED EVENTS ARE REVIEWED AGAINST TRENDING CONTROL LIMITS ON A MONTHLY BASIS AND ANY EXCURSIONS ABOVE THE CONTROL LIMITS ARE ASSESSED AND DOCUMENTED AS A PART OF THE MONTHLY REVIEW.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING USE OF THE FORESIGHT SENSOR THE TOTAL HEMOGLOBIN WAS OFF BY MORE THAN 1 G. THERE WAS NO ALLEGATION OF PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
93583 FORESIGHT IQ CATHETER, OXIMETER, FIBER-OPTIC DQE EDWARDS LIFESCIENCES IRVINE FSESLIQ NI 00690103219616

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown