CC NEXFIN WRIST UNIT A1WU28

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-03-10 for CC NEXFIN WRIST UNIT A1WU28 manufactured by Edwards Lifesciences Bmeye.

Event Text Entries

[40427673] The device is expected to be returned for evaluation. A follow-up submission will communicate the results of the device history record review, the returned product evaluation result(s), investigation, and conclusion.
Patient Sequence No: 1, Text Type: N, H10


[40427674] It was reported that during use, the nexfin single cuff wrist unit provided 'unreliable measurements. ' further details regarding the values or meaning of 'unreliable measurements' were unable to be obtained. 'the finger cuff sometimes inflated and occasionally did not. ' additionally, halfway through a measurement, it occasionally stopped working. There was no allegation of patient compromise and no additional system-related devices were identified as suspect.
Patient Sequence No: 1, Text Type: D, B5


[46184191] The device was manufactured december 09, 2010 and review of the device history record supports that there were no non-conformances noted during the manufacturing of the referenced device. Additionally, no prior service has been documented for this device. The actual values, reported as? Unreliable,? Were requested; however, the information was unable to be ascertained. Examination of the returned device found no fault was found. No physical damage was found in the visual inspection. It is unknown whether procedural processes or a specific circumstance played a role in the customer's experience, as the fault could not be replicated and no other issues were detected. Edwards will continue to review and monitor all events. If action is required an appropriate investigation will be performed.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2015691-2016-00743
MDR Report Key5492430
Date Received2016-03-10
Date of Report2016-02-11
Date of Event2016-01-12
Date Mfgr Received2016-05-18
Device Manufacturer Date2010-12-09
Date Added to Maude2016-03-10
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 FDA3
Event Location3
Manufacturer ContactMS. LYNN SELAWSKI
Manufacturer Street1 EDWARDS WAY
Manufacturer CityIRVINE CA 92614
Manufacturer CountryUS
Manufacturer Postal92614
Manufacturer Phone9497564386
Manufacturer G1EDWARDS LIFESCIENCES BMEYE
Manufacturer StreetHOOGOORDDEEF 60
Manufacturer City1101 BE AMSTERDAM
Manufacturer CountryNL
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCC NEXFIN WRIST UNIT
Generic NamePLETHYSMOGRAPH, IMPEDANCE
Product CodeDSB
Date Received2016-03-10
Returned To Mfg2016-05-18
Model NumberA1WU28
Lot Number4932761
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerEDWARDS LIFESCIENCES BMEYE
Manufacturer AddressHOOGOORDDEEF 60 1101 BE AMSTERDAM NL


Patients

Patient NumberTreatmentOutcomeDate
10 2016-03-10

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