TRANSCUTANEOUS BLOOD GAS MONITOR TCM4 SERIES 391-880

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-05-29 for TRANSCUTANEOUS BLOOD GAS MONITOR TCM4 SERIES 391-880 manufactured by Radiometer Medical Aps.

Event Text Entries

[20324047] The patient (a neonatal boy born in (b)(6) gestation week) received a burn mark on the right thigh. The temperature was set to 43 degrees celsius, and the electrode was placed on the same location for 7 hours. According to the operator's manual (tcm4/40 om page 6-12) the probe should be relocated after 4 hours at least.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1523456-2014-00002
MDR Report Key3879434
Date Received2014-05-29
Date of Report2014-05-02
Date of Event2014-04-01
Date Facility Aware2014-05-02
Report Date2014-05-02
Date Reported to FDA2014-05-29
Date Reported to Mfgr2014-05-28
Date Added to Maude2014-06-19
Event Key0
Report Source CodeDistributor report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer Street810 SHARON DR.
Manufacturer CityWESTLAKE OH 441451598
Manufacturer CountryUS
Manufacturer Postal441451598
Manufacturer G1RADIOMETER AMERICA, INC.
Manufacturer Street810 SHARON DR.
Manufacturer CityWESTLAKE OH 44145159
Manufacturer CountryUS
Manufacturer Postal Code44145 1598
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameTRANSCUTANEOUS BLOOD GAS MONITOR
Generic NameTCM4 MONITORING SYSTEM
Product CodeLKD
Date Received2014-05-29
Model NumberTCM4 SERIES
Catalog Number391-880
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Age4 YR
Device Sequence No1
Device Event Key0
ManufacturerRADIOMETER MEDICAL APS
Manufacturer AddressAKANDEVEJ 21 BRONSHOJ DK-2700 DA DK-2700


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2014-05-29

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