TRANSCUTANEOUS BLOOD GAS MONITOR TCM400 SERIES 391-880

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,07 report with the FDA on 2014-07-14 for TRANSCUTANEOUS BLOOD GAS MONITOR TCM400 SERIES 391-880 manufactured by Radiometer Medical Aps.

Event Text Entries

[4644596] The patient received a second degree burn mark on the top of his right foot, after the tcm400 sensor was removed. The temperature was set to 44 degrees celsius, and the electrode was placed on the same location for 2 hours.
Patient Sequence No: 1, Text Type: D, B5


[12098217] The tcm400 has been checked, and no indications of product malfunction were identified. It is stated in the intended use that the tcm400 system should not be used in icu and for unattended patient monitoring, as the system has no alarms. Also the following warnings are included: in this case the patient was suffering from critical limb ischemia. This condition results in reduced blood flow to the feet, and the placement of the electrode in the same position for two hours is therefore suspected to have caused the burn mark.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3002807968-2014-00021
MDR Report Key3950972
Report Source01,07
Date Received2014-07-14
Date of Report2014-06-13
Date of Event2014-05-17
Date Mfgr Received2014-06-13
Device Manufacturer Date2011-11-01
Date Added to Maude2014-07-23
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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 FDA0
Event Location0
Manufacturer StreetAKANDEVEJ 21
Manufacturer CityBRONSHOJ DK-2700
Manufacturer CountryDA
Manufacturer PostalDK-2700
Manufacturer Phone8273827
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameTRANSCUTANEOUS BLOOD GAS MONITOR
Generic NameTCM400
Product CodeLPP
Date Received2014-07-14
Model NumberTCM400 SERIES
Catalog Number391-880
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 2014-07-14

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