FDA Adverse Event
Malfunction
Summary report: N
PARENCHYMAL PRESSIO CATHETER 2
MDR report key: 7880531
·
Received September 17, 2018
Report
- Report Number
- 3001587388-2018-18361
- Event Type
- Malfunction
- Date Received
- September 17, 2018
- Date of Event
- July 21, 2018
- Report Date
- September 17, 2018
- Manufacturer
- SOPHYSA
- Product Code
- GWM
- PMA / PMN Number
- K162108
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
WE ARE RE-SUBMITTING THIS REPORT PER FOLLOWING REQUEST BY FDA: IT APPEARS THAT THESE SUPPLEMENT REPORTS COULD BE ACTUAL INITIAL REPORTS THAT MAY HAVE BEEN ERRONEOUSLY SUBMITTED AS FOLLOW-UPS IN ERROR DUE TO CHECKING BOTH INITIAL BOX AND FOLLOW-UP BOX IN 3001587388-2018-18361 - 1. LOT #: E0364. RESUBMIT AS INITIAL
Description of Event or Problem · 0
PATIENT BECAME VERY RESTLESS AND AGITATED. AFTER PATIENT WAS MEDICATED AND SETTLED DOWN, NURSE NOTICED ICP NO LONGER READING. MONITOR BEGAN TO SOUND A CONTINUOUS ALARM. NURSE TRIED TO TROUBLESHOOT, I.E MAKING SURE CATHETER STILL ATTACHED TO PATIENT, MAKING SURE CATHETER ATTACHED TO MACHINE, TURNING ON OFF. PRESSIO CONSULTANT WAS THEN CONTACTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 724832 | PARENCHYMAL PRESSIO CATHETER 2 | ICP PRESSURE MONITORING CATHETER | GWM | SOPHYSA | ICP CATHETER | E0364 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Male | Other |