FDA Adverse Event Malfunction Summary report: N

PICO

MDR report key: 8765980 · Received July 7, 2019

Report

Report Number
8043484-2019-00470
Event Type
Malfunction
Date Received
July 7, 2019
Date of Event
June 18, 2019
Report Date
August 21, 2019
Manufacturer
SMITH & NEPHEW MEDICAL LTD.
Product Code
OMP
PMA / PMN Number
K112127
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

OUR INVESTIGATION INTO THE COMPLAINT HAS NOW CONCLUDED. NO SAMPLES WERE RECEIVED FOR THIS COMPLAINT THEREFORE VISUAL INSPECTION AND FUNCTIONAL EVALUATION COULD NOT BE PERFORMED. NO LOT NUMBER WAS PROVIDED, THEREFORE A REVIEW OF BATCH MANUFACTURING RECORDS COULD NOT BE CONDUCTED. ON THIS OCCASION WE ARE UNFORTUNATELY UNABLE TO REACH A DEFINITIVE ROOT CAUSE OF THE PROBLEM, HOWEVER SMITH AND NEPHEW ARE CONTINUALLY INVESTIGATING WAYS TO DEVELOP AND IMPROVE OUR PRODUCTS AND WE WILL CONTINUE TO MONITOR FOR ANY ADVERSE TRENDS RELATING TO THIS PRODUCT RANGE.

Description of Event or Problem · 1

IT WAS REPORTED THAT AFTER THREE DAYS OF TREATMENT THE PUMP WORKED FINE UNTIL THE PATIENT TOOK A SHOWER AND DID NOT DISCONNECT THE PUMP. ALL LIGHTS WERE SOLIDLY ILLUMINATING. NO MORE INFORMATION AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
559719 PICO NEGATIVE PRESSURE WOUND THERAPY POWERED SUCTION PUMP OMP SMITH & NEPHEW MEDICAL LTD.

Patients

Seq Age Sex Outcome Treatment
1