ECG SLAVE CABLE 64EKH

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 2020-02-13 for ECG SLAVE CABLE 64EKH manufactured by Edwards Lifesciences.

Event Text Entries

[188742807] The product is expected to be returned for analysis; however, it has not yet been received. Upon the return of the product a supplemental report will be sent with the investigation results as well as the device history record. 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 part of this monthly review.
Patient Sequence No: 1, Text Type: N, H10


[188742808] As reported, during use of this 64 ekh slave cable, the hemosphere monitor provided double heart rate value than the heart rate provided by the philips bedside monitor. The value provided by the bedside monitor was 70 beats/min approximately, while the hemosphere monitor displayed roughly twice the value (hr around 140 beats/min). There was no error message displayed. The issue was sometimes solved by disconnecting the power cable from the socket and letting the monitor work in battery mode. In other cases, the swan ganz was just disconnected. As per new information received from the user, the problem was found to be related to the 64 ekh slave cable, which had high resistance. The cable was replaced and the problem was solved. This issue has happened in the past as well. The hemosphere monitor functioned as intended.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2015691-2020-10509
MDR Report Key9709162
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2020-02-13
Date of Report2020-01-21
Date of Event2020-01-21
Date Mfgr Received2020-02-19
Date Added to Maude2020-02-13
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. SAMANTHA EVELEIGH
Manufacturer StreetONE EDWARDS WAY
Manufacturer CityIRVINE CA 92614
Manufacturer CountryUS
Manufacturer Postal92614
Manufacturer Phone9492503939
Manufacturer G1EDWARDS LIFESCIENCES LLC
Manufacturer StreetONE EDWARDS WAY
Manufacturer CityIRVINE CA 92614
Manufacturer CountryUS
Manufacturer Postal Code92614
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameECG SLAVE CABLE
Generic NameCOMPUTER, DIAGNOSTIC, PRE-PROGRAMMED, SINGLE-FUNCTION
Product CodeDXG
Date Received2020-02-13
Model Number64EKH
Catalog Number64EKH
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerEDWARDS LIFESCIENCES
Manufacturer AddressONE EDWARDS WAY IRVINE CA 92614 US 92614


Patients

Patient NumberTreatmentOutcomeDate
10 2020-02-13

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