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