FDA Adverse Event Malfunction Summary report: N

INTRACRANIAL PRESSURE/TEMPERATURE MONITORING K

MDR report key: 3190668 · Received June 24, 2013

Report

Report Number
2023988-2013-00013
Event Type
Malfunction
Date Received
June 24, 2013
Date of Event
January 14, 2013
Report Date
June 24, 2013
Manufacturer
INTEGRA NEUROSCIENCES CA/USA
Product Code
GWM
PMA / PMN Number
K962928
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MX
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

TO DATE, THE DEVICE INVOLVED IN THE REPORTED INCIDENT HAS NOT BEEN RECEIVED FOR EVALUATION. AN INVESTIGATION HAS BEEN INITIATED BASED UPON THE REPORTED INFORMATION.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE CATHETER WOULD NOT CALIBRATE TO ZERO. ANOTHER CATHETER WAS USED. NO OTHER INFORMATION WAS PROVIDED. ADDITIONAL INFORMATION WAS REQUESTED AND THE FOLLOWING WAS RECEIVED ON (B)(6) 2013: THE PRODUCT PROBLEM WAS FOUND BEFORE BEING USED ON THE PATIENT, DURING THE CALIBRATION TO ZERO. PATIENT IS A (B)(6) YEAR OLD FEMALE. TYPE OF PROCEDURE WAS MEASUREMENT PIC FOR TRAUMA CRANEOENCEFALICO. THERE WAS NO HARM OR INJURY TO THE PATIENT. THE DOCTOR ONLY CHANGED IT FOR A NEW CATHETER. THERE WAS A DELAY IN THE SURGERY/PROCEDURE OF 10 MINUTES 'WHEN THE DOCTOR GOT A CATHETER INTERNALLY FOR THE REPLACEMENT'. THE REPLACEMENT CATHETER WORKED. PATIENT OUTCOME WAS POSITIVE. RECOVERY WAS ACHIEVED WITH THE SUPPORT OF ICP MONITORING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
285271 INTRACRANIAL PRESSURE/TEMPERATURE MONITORING K NA GWM INTEGRA NEUROSCIENCES CA/USA 305000233812

Patients

Seq Age Sex Outcome Treatment
1 2 YR