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 2017-09-01 for CABLE, IBP, SINGLE, ARGON, 3.6 M 2016995-001 manufactured by Vyaire Medical, Inc.

Event Text Entries

[84318883] Initial mdr submission. At this time, the customer has not provided the sample for evaluation. If additional information becomes available a follow up report will be submitted. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[84318884] The patient was in icu and his invbp values dropped down unexpectedly. The patient has got noradrenalin and his invasive bp was monitored. When the values dropped down the patient got more noradrenalin but there wasn? T any response to that. Bp curve was clear all the time. Then the bp reset to zero and after that the values were high. Then noradrenalin infusion was decreased. And even if support medication was decreased the bp values were increased. Infusion set and cable was detached from one another and bp was reset to zero. After that the bp values were normal for a while but then rose again. Finally cable was changed to a new one and after that the values were stable. Patient was in sleep all the time and his status was stable. Because of that abnormal fluctuations in invbp values were strange. Increased bp would be dangerous for this patient. The invbp values were not reliable and it was impossible to know the real inv bp. Intervention: more noradrenalin given based on inv bp readings.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3010838917-2017-00037
MDR Report Key6837524
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2017-09-01
Date of Report2018-01-30
Date of Event2017-07-22
Date Mfgr Received2018-01-19
Date Added to Maude2017-09-01
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 Received2017-09-01
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 2017-09-01

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