FDA Adverse Event
Malfunction
Summary report: N
THD SLIDE DOPPLER PROBE 5 SHOTS NON STERILE
MDR report key: 4427223
·
Received January 9, 2015
Report
- Report Number
- 3006680097-2015-00002
- Event Type
- Malfunction
- Date Received
- January 9, 2015
- Date of Event
- November 1, 2014
- Report Date
- January 8, 2015
- Manufacturer
- THD SPA
- Product Code
- JAF
- PMA / PMN Number
- K081429
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SR
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE WAS SENT TO TDH SPA (ITALY). ADD'L INFO COULD BE PROVIDED UPON COMPLETION OF THE TECHNICAL INVESTIGATION.
Description of Event or Problem · 1
IT WAS REPORTED, "NO BLOOD VESSEL SIGNAL FROM THE THD DOPPLER PROBE DEVICE DURING THD TREATMENT, SILENT". A NEW THD DOPPLER PROBE WAS USED AND THE TREATMENT WAS COMPLETED SUCCESSFULLY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 20083 | THD SLIDE DOPPLER PROBE 5 SHOTS NON STERILE | DOPPLER PROBE NON STERILE | JAF | THD SPA | 800056B | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |