FDA Adverse Event
Malfunction
Summary report: N
THD SLINE DOPPLER PROBE 10 SHOTS NON STERILE
MDR report key: 4373474
·
Received December 22, 2014
Report
- Report Number
- 3006680097-2014-00007
- Event Type
- Malfunction
- Date Received
- December 22, 2014
- Date of Event
- November 20, 2014
- Report Date
- December 22, 2014
- Manufacturer
- THD SPA
- Product Code
- JAF
- PMA / PMN Number
- K070815
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SN
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE WAS SENT TO (B)(4). ADDITIONAL INFO COULD BE PROVIDED UPON COMPLETION OF THE TECHNICAL INVESTIGATION.
Description of Event or Problem · 1
IT WAS REPORTED, "BEFORE THE CASE, THE THD DOPPLER PROBE WAS NEW, AND WHEN THE CASE STARTED, IT WAS NOT PICKING UP BLOOD VESSEL SIGNALS. THE SURGEON INCREASED PT BLOOD PRESSURE BUT NO SIGNAL COULD BE HEARD. THE SYSTEM WAS RESTARTED AND TRIED TO USE AGAIN THE SAME DOPPLER, BUT STILL NO SIGNAL WAS HEARD AND DETECTED. ANOTHER THD DOPPLER PROBE WAS USED AND IT WORKED."
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 843160 | THD SLINE DOPPLER PROBE 10 SHOTS NON STERILE | DOPPLER PROBE NON STERILE | JAF | THD SPA | 7000001B | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |