FDA Adverse Event Injury Summary report: N

TOSCA 500 USA

MDR report key: 5067272 · Received September 8, 2015

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Report

Report Number
3002807968-2015-00021
Event Type
Injury
Date Received
September 8, 2015
Date of Event
August 5, 2015
Report Date
March 9, 2017
Product Code
DPZ
PMA / PMN Number
K063434
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE MONITOR TEMPERATURE WAS NOTED AT 44 DEGREES CELSIUS. THE USER MANUAL FOR THE TOSCA 500 STATES A RECOMMENDED TEMPERATURE OF 42 DEGREES CELSIUS AND A MAXIMUM TEMPERATURE OF 44 DEGREES CELSIUS. THE CUSTOMER EXPLAINED THAT THIS MONITOR WAS USED FOR SLEEP STUDIES THAT CAN LAST UP TO 10 HOURS, AND THAT THE SITE TIME WAS SET AT 9 HOURS. HOWEVER, THE USER MANUAL FOR TOSCA 500 INSTRUCTS A MAXIMUM SITE TIME OF 4 HOURS WHEN SETTING THE TEMPERATURE AT 44 DEGREES CELSIUS. THE PROLONGED SITE TIME AT THE HIGH TEMPERATURE INDICATES THAT THE EVENT WAS CAUSED BY A USER ERROR.

Additional Manufacturer Narrative · 1

IN THE INITIAL REPORT ADVERSE EVENT WAS CHECKED BUT IT WAS NOT AN ADVERSE EVENT BUT A MALFUNCTION DUE TO A USE ERROR WHY NO MDR SHOULD HAVE BEEN FILED. SERIOUS INJURY SHOULD HAVE BEEN LEFT BLANK IN INITIAL REPORT. INITIAL REPORT: THE COVER LETTER STATES "...FOR A SERIOUS INJURY INVOLVING CLINITUBES". THE CASE CONCERNS TCM TOSCA 500 SENSOR 92, SO THE CORRECT STATEMENT IS "...FOR A SERIOUS INJURY INVOLVING TCM TOSCA 500 SENSOR 92".

Description of Event or Problem · 1

(B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
593761 TOSCA 500 USA TOSCA 500 USA MONITOR DPZ 5201008

Patients

Seq Age Sex Outcome Treatment
1