MAUDE MDR 7798056

MDR report key
7798056
Report number
2015691-2018-03441
Event key
0
Event type
3
Date of event
2018-08-06
Date received
2018-08-20
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
100
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MS. SAMANTHA EVELEIGH
Address
ONE EDWARDS WAY IRVINE CA 92614 US
Phone
949-949-9492
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1CC CABLES 70CC2CABLEEDWARDS LIFESCIENCESISN70CC2R R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12018-08-200

Event Narratives#

N

Patient 1

THE CABLE IS EXPECTED TO BE RETURNED TO BE EVALUATED. A SUPPLEMENTAL REPORT WILL BE SUBMITTED TO COMMUNICATE THE DHR REVIEW RESULTS AS WELL AS THE INVESTIGATION RESULTS. WITH ANY HEMODYNAMIC MONITORING, PHYSIOLOGIC PARAMETERS CAN CHANGE QUICKLY AND DRAMATICALLY. PHYSIOLOGIC PARAMETERS ARE USED TO BASE CLINICAL TREATMENT DECISIONS. IN THIS EVENT, THE BLOOD TEMPERATURE READING WAS OUT OF RANGE, WHICH WOULD CAUSE AN INCORRECT CCO VALUE TO BE DISPLAYED. CLINICIANS ARE TRAINED TO EVALUATE THE ENTIRE CLINICAL PRESENTATION OF THE PATIENT IN ORDER TO MAKE TREATMENT DECISIONS. IN ADDITION, THESE DEVICES ARE USED BY HIGHLY TRAINED CLINICIANS EXPERIENCED IN ASSESSING AND MITIGATING ANY HAZARDS THAT ARISE. COMPLAINT HISTORIES FOR ALL REPORTED EVENTS ARE REVIEWED AGAINST TRENDING CONTROL LIMITS ON A MONTHLY BASIS AND ANY EXCURSIONS ABOVE THE CONTROL LIMITS ARE ASSESSED AND DOCUMENTED AS A PART OF THE MONTHLY REVIEW

D

Patient 1

IT WAS REPORTED THAT DURING USE OF THIS 70 CC2 CABLE, THE BLOOD TEMPERATURE (BT) WAS 38 DEGREES CELSIUS BUT THEN IT FLUCTUATED TO 17 DEGREES CELSIUS AFTER ABOUT ONE SECOND. THERE WAS NO ERROR MESSAGE OBSERVED. NO PATIENT INJURY WAS REPORTED AND NO TREATMENT WAS GIVEN TO THE PATIENT. PATIENT DEMOGRAPHICS ARE UNAVAILABLE. THE SUSPECT CABLE WAS REPLACED AND THE ISSUE WAS RESOLVED.