CABLE, IBP, SINGLE, ARGON, 3.6 M 2016995-001

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2017-08-30 for CABLE, IBP, SINGLE, ARGON, 3.6 M 2016995-001 manufactured by Vyaire Medical, Inc.

Event Text Entries

[83963786] Initial mdr submission. To date no sample has been provided from the customer. If additional information becomes available a follow up submission will be filed. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[83963787] The patient was in icu and has a serious ards (? ) and he/she was turned to the prone position. Soon after that invbp values were very high. Because of that noradrenalin infusion was stopped and fentanyl and propofol was started. When noradrenalin was stopped the invbp curve had disappeared suddenly. Because the next bp value (also nibp measuring was started) was 40/20. Noradrenalin infusion was started again. Then a trunk cable was changed to a new one and values became normal and the bp curve was reliable. No patient injury has been reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3010838917-2017-00036
MDR Report Key6830010
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2017-08-30
Date of Report2018-01-30
Date of Event2017-07-24
Date Mfgr Received2018-01-19
Date Added to Maude2017-08-30
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 ContactMINDY FABER
Manufacturer Street26125 NORTH RIVERWOODS BLVD.
Manufacturer CityMETTAWA IL 60045
Manufacturer CountryUS
Manufacturer Postal60045
Manufacturer G1TECHNICAL SERVICES FOR ELECTRONICS
Manufacturer Street2F, NO. 21 JIANKANG ROAD JHONGHE DISTRICT
Manufacturer CityCHUNG HO CITY, TAIPEI
Manufacturer CountryTW
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCABLE, IBP, SINGLE, ARGON, 3.6 M
Generic NameDISPLAY, CATHODE-RAY TUBE, MEDICAL
Product CodeDXJ
Date Received2017-08-30
Catalog Number2016995-001
Lot Number201503K
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerVYAIRE MEDICAL, INC
Manufacturer Address26125 NORTH RIVERWOODS BLVD. METTAWA IL 60045 US 60045


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2017-08-30

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