FDA Adverse Event Malfunction Summary report: N

ABVISER-INTRA ABD PRESSURE MONITOR DEVICE

MDR report key: 3982689 · Received July 24, 2014

Report

Report Number
1049092-2014-00345
Event Type
Malfunction
Date Received
July 24, 2014
Date of Event
July 5, 2014
Report Date
July 7, 2014
Manufacturer
CONVATEC INC
Product Code
FEN
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

BASED ON THE AVAILABLE INFORMATION, THIS EVENT IS DEEMED A REPORTABLE MALFUNCTION. THERE WERE NO REPORTS OF THE PATIENT BEING HARMED AS A RESULT OF THIS MALFUNCTION. NO ADDITIONAL PATIENT/EVENT DETAILS HAVE BEEN PROVIDED TO DATE. A RETURN SAMPLE FOR EVALUATION IS NOT EXPECTED. SHOULD ADDITIONAL INFORMATION BECOMES AVAILABLE, A FOLLOW-UP REPORT WILL BE SUBMITTED. ADDITIONAL QUALITY EVALUATION PERFORMED ON (B)(4) 2014 STATES THAT THERE WERE (B)(4) REPORTS NOTED IN RECORDS FOR URINE RETENTION, ONE OF WHICH WAS WITHIN THE PAST YEAR.

Description of Event or Problem · 1

IT IS REPORTED THAT THE ABVISER DEVICE WAS INSTALLED TO MONITOR IAP (INTRA ABDOMINAL PRESSURE) AND CONNECTED TO A #14 FOLEY CATHETER AND URINE COLLECTING BAG CISTOFLO. THE IAP (INTRA ABDOMINAL PRESSURE) MEASUREMENT WAS PERFORMED FOR A DAY, HOWEVER, IN THE MEASUREMENT WAS PERFORMED FOR A DAY, HOWEVER IN THE MEASUREMENT OF THE SECOND DAY AT NIGHT THE VALVE SYSTEM DID NOT DEFLATE AND COLLAPSE URINE OUTPUT FOR FOUR (4) HOURS RESULTING IN THE REMOVAL OF THE DEVICE TWENTY FOUR (24) HOURS OF USE. IT IS FURTHER REPORTED THAT THE OBSTRUCTION IN URINE IS ASSOCIATED WITH THE DEVICE BEING IN PLACE; THEREFORE IT WAS DECIDED TO REMOVE THE DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
435263 ABVISER-INTRA ABD PRESSURE MONITOR DEVICE DEVICE, CYSTOMETRIC, HYDRAULIC FEN CONVATEC INC ABV300 131038

Patients

Seq Age Sex Outcome Treatment
1