PROBE FOR COMPARTMENTAL PRESSURE MONITORING SYSTEM 530.412

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,07 report with the FDA on 2012-11-07 for PROBE FOR COMPARTMENTAL PRESSURE MONITORING SYSTEM 530.412 manufactured by Synthes Monument.

Event Text Entries

[2938221] A report was received regarding a compartmental pressure monitoring system that did not read/display an accurate measurement. The healthcare provider powered on the monitor in order to "zero out" the device. The probe was then inserted into the tibial region of the patient which gave a reading of 60mmhg. The health care provider determined by clinical suspicion that the reading of 60mmhg was too high and not consistent with the condition of the patient which was described as soft. After removing the probe from the patient the device display indicated 30mmhg. This is report #2 of 2 for the same event.
Patient Sequence No: 1, Text Type: D, B5


[10356765] Device was used for diagnosis. Device is an instrument and is not implanted/explanted. Subject device has been received and is currently in the evaluation process.
Patient Sequence No: 1, Text Type: N, H10


[19411155] A review of synthes device history record (dhr) review revealed that the probe for compartmental pressure monitoring system was processed per specification requirements. The lot was inspected and accepted to the synthes inspection. There were no mrrs, ncrs, or complaint-related issues with this lot. A manufacturing evaluation was conducted. The parts were received intact, no apparent damage. The supplier reviewed the device and determined that "no error was detected" they did comment that the battery voltage was low and that it was advisable to have the battery changed. The dhr review revealed that the parts were received in tolerance and passed the required functional testing at the supplier.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1719045-2012-01134
MDR Report Key2823125
Report Source05,07
Date Received2012-11-07
Date of Report2012-10-11
Date of Event2012-10-11
Date Mfgr Received2012-10-11
Device Manufacturer Date2012-06-22
Date Added to Maude2013-02-14
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactDENISE BURKE
Manufacturer Street1302 WRIGHTS LANE EAST
Manufacturer CityWEST CHESTER PA 19380
Manufacturer CountryUS
Manufacturer Postal19380
Manufacturer Phone8006207025
Manufacturer G1SYNTHES MONUMENT
Manufacturer Street1101 SYNTHES AVE
Manufacturer CityMONUMENT CO 80132
Manufacturer CountryUS
Manufacturer Postal Code80132
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePROBE FOR COMPARTMENTAL PRESSURE MONITORING SYSTEM
Generic NamePROBE FOR COMPART . MONITOR
Product CodeLXC
Date Received2012-11-07
Returned To Mfg2012-10-30
Catalog Number530.412
Lot NumberUS-16-1771
OperatorPHYSICIAN
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSYNTHES MONUMENT
Manufacturer Address1101 SYNTHES AVE MONUMENT CO 80132 US 80132


Patients

Patient NumberTreatmentOutcomeDate
10 2012-11-07

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