TRANSCUTANEOUS BLOOD GAS MONITOR TCM4 391-880

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,05 report with the FDA on 2013-05-17 for TRANSCUTANEOUS BLOOD GAS MONITOR TCM4 391-880 manufactured by Radiometer Medical Aps.

Event Text Entries

[3565667] The pt rec'd a blistering burn mark on the left upper chest, lateral to the sternum. When removing the probe from the burn site a layer of skin came off. The site was sensitive to touch and a 'polysporin' ointment was applied to the affected skin area. The area was sensitive after removal of the probe. The pt was diagnosed with sleep apnea, had no allergies, was non-smoker and non-alcohol user, and was using 'desogestrel', a hormonal contraceptive.
Patient Sequence No: 1, Text Type: D, B5


[10743981] The user left the electrode probe on the skin for 6 hrs, with a temperature of 44 degrees c. The recommended temperature setting is 43 degrees c, and the ifu includes the following warning: "warning - risk of skin damage: sensors must be moved to a new site at least every four hrs. Because individual skin condition affects the ability of the skin to tolerate sensor placement, it may be necessary to change the sensor site more frequently with some pts. If skin integrity changes, move the sensor to another site. " monitor and electrode were rec'd back to the importer for testing. An alignment test showed that the monitor is functioning as normal.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3002807968-2013-00009
MDR Report Key3122668
Report Source01,05
Date Received2013-05-17
Date of Report2013-04-16
Date of Event2013-04-16
Date Mfgr Received2013-04-16
Device Manufacturer Date2009-09-01
Date Added to Maude2013-05-28
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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
Manufacturer ContactLASSE POST MOLLER, RA SPECIALIS
Manufacturer StreetAKANDEVEJ 21
Manufacturer CityBRONSHOJ DK-2700
Manufacturer CountryDA
Manufacturer PostalDK-2700
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameTRANSCUTANEOUS BLOOD GAS MONITOR
Generic NameTCM4
Product CodeLKD
Date Received2013-05-17
Model NumberTCM4
Catalog Number391-880
ID NumberELECTRODE 5280-JH09
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerRADIOMETER MEDICAL APS
Manufacturer AddressAKANDEVEJ 21 BRONSHOJ DK-2700 DA DK-2700


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2013-05-17

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