COROMETRICS 115

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2011-01-25 for COROMETRICS 115 manufactured by Corometrics.

Event Text Entries

[19662839] Fetal demise after approximately 10 hours of monitoring. Pt was on a corometrics 256x fetal monitor through the night. At some point during the night, nurses were unable to pick up fetal heart tones. Physician was called and arrived at hospital. Physician attempted to get fetal heart tones with three different handheld dopplers. Dopplers did not pick up fetal heart tones. Physician assumed equipment error on all three dopplers. All three dopplers were checked by two separate bio-med contractors, with defects found in two of the three. In addition, pt was transferred to a corometrics 115 fetal monitors around 6 am on (b)(6) 2011. This monitor still did not pick up fetal heart tones. Both corometrics monitors have been checked by two separate bio-med contractors. The 256x checked out fine, but the 115 did not. Other products involved: handheld mini dopplers: nicolet model 100. Huntleigh model d500. These two items were checked by 2 bio-med companies and did not pass either. Diagnosis: labor.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5019156
MDR Report Key1976067
Date Received2011-01-25
Date of Report2011-01-25
Date of Event2011-01-21
Date Added to Maude2011-02-01
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Sequence Number: 1

Brand NameCOROMETRICS
Generic NameFETAL HEART MONITOR
Product CodeHEL
Date Received2011-01-25
Model Number115
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerCOROMETRICS

Device Sequence Number: 2

Brand NameHANDHELD MINI DOPPLER
Generic NameHANDHELD MINI DOPPLER
Product CodeIYN
Date Received2011-01-25
Model NumberD500
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No2
Device Event Key0
ManufacturerHUNTLEIGH

Device Sequence Number: 3

Brand NameHANDHELD MINI DOPPLERS
Generic NameHANDHELD MINI DOPPLERS
Product CodeIYN
Date Received2011-01-25
Model Number100
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No3
Device Event Key0
ManufacturerNICOLET


Patients

Patient NumberTreatmentOutcomeDate
101. Death 2011-01-25

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