FDA Adverse Event Malfunction Summary report: N

INTER-CRANIAL PRESSURE AND TEMPERATURE MONITOR

MDR report key: 3202125 · Received June 28, 2013

Report

Report Number
3006697299-2013-00055
Event Type
Malfunction
Date Received
June 28, 2013
Report Date
June 28, 2013
Manufacturer
INTEGRA LIFESCIENCES (IRELAND) LIMITED
Product Code
GWM
PMA / PMN Number
K121573
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

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

Description of Event or Problem · 1

IT WAS REPORTED THAT THE CAM02 POWER CORD HAD A SHORT IN IT. THE INTEGRA SALES REP FOUND THE BAD CORD DURING AN IN SERVICE HAS WAS PROVIDING TO THE INTENSIVE CARE UNIT STAFF. THERE WAS NO PT CONTACT AND NO INJURY INVOLVED WITH THIS COMPLAINT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
295886 INTER-CRANIAL PRESSURE AND TEMPERATURE MONITOR ICP MONITORING GWM INTEGRA LIFESCIENCES (IRELAND) LIMITED

Patients

Seq Age Sex Outcome Treatment
1