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