MAUDE MDR 9538907

MDR report key
9538907
Report number
1018233-2020-00002
Event key
0
Event type
3
Date received
2020-01-02
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
401
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
YONIC ANDERSON
Address
8195 INDUSTRIAL BLVD COVINGTON GA 30014 US
Phone
770-770-7707
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1SENSICASENSICAADAPTEC MEDICAL DEVICES LLC 3014271001EXSSCCS1001NAY R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-01-020

Event Narratives#

N

Patient 1

THE INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE, A SUPPLEMENTAL REPORT WILL BE FILED.

D

Patient 1

IT WAS REPORTED THAT THE SENSICA DEVICE WAS NOT ACCURATELY RECORDING VOLUME. THE COMPLAINANT NOTED THE DEVICE WAS 50-100 CC OFF OF THE ACCURATE READING EVERY HOUR.