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 |