FDA Adverse Event Malfunction Summary report: N

TERUMO CDI 500 BLOOD PARAMETER MONITOR

MDR report key: 2772261 · Received October 2, 2012

Report

Report Number
1828100-2012-01241
Event Type
Malfunction
Date Received
October 2, 2012
Date of Event
August 25, 2012
Report Date
September 7, 2012
Manufacturer
TERUMO CARDIOVASCULAR SYSTEMS CORP
Product Code
DRY
PMA / PMN Number
K972962
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

PER THE USER FACILITY'S BIOMEDICAL ENGINEER, THIS HAS BEEN AN ONGOING PROBLEM. HE WAS UNABLE TO QUANTIFY THE NUMBER OF TIMES THE REPORTED PROBLEM HAS HAPPENED. THE COMPLAINT COULD NOT BE DUPLICATED BY THE QUALITY LABORATORY TECHNICIAN. IF ADD'L INFO BECOMES AVAILABLE ON THIS COMPLAINT THAT WOULD ALTER THE FACTS AND/OR CONCLUSION, A SUPPLEMENTAL REPORT WILL BE FILED ACCORDINGLY.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE BLOOD PARAMETER MONITOR (BPM) UNIT WAS STABLE, BUT THE VALUES WERE DRIFTING UP AND DOWN. THE DEVICE WAS NOT CHANGED. THE SURGICAL PROCEDURE WAS COMPLETED SUCCESSFULLY, AND THERE WERE NO DELAYS, NO BLOOD LOSS OR NO ADVERSE CONSEQUENCES TO THE PT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TERUMO CDI 500 BLOOD PARAMETER MONITOR DRY TERUMO CARDIOVASCULAR SYSTEMS CORP 500AHCT

Patients

Seq Age Sex Outcome Treatment
1