MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2020-03-27 for RENASYS GO 66021496 manufactured by Smith & Nephew Medical Ltd..
[185901203]
It was reported that during homecare a renasys go device gave a leak warning that was resolved with a dressing change, but then it displayed a blockage full canister alarm. The patient's wife noticed that there was very little drainage in the canister. After following the troubleshooting steps instructed by a nurse on the phone, the alarm did not resolve and she said drainage did not move at all. She then turned the device off and on and it resolved for a moment but then went back to blockage/full alarm. A back up device was not available.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 8043484-2020-00226 |
MDR Report Key | 9892163 |
Report Source | COMPANY REPRESENTATIVE,HEALTH |
Date Received | 2020-03-27 |
Date of Report | 2020-03-27 |
Date of Event | 2020-03-03 |
Date Mfgr Received | 2020-03-03 |
Date Added to Maude | 2020-03-27 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Contact | DR SARAH FREESTONE |
Manufacturer Street | 101 HESSLE ROAD |
Manufacturer City | HULL HU3 2BN |
Manufacturer Country | UK |
Manufacturer Postal | HU3 2BN |
Manufacturer Phone | 4407940038 |
Manufacturer G1 | SMITH & NEPHEW MEDICAL LTD. |
Manufacturer Street | 101 HESSLE ROAD |
Manufacturer City | HULL HU3 2BN |
Manufacturer Country | UK |
Manufacturer Postal Code | HU3 2BN |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | RENASYS GO |
Generic Name | NEGATIVE PRESSURE WOUND THERAPY POWERED SUCTION PUMP |
Product Code | OMP |
Date Received | 2020-03-27 |
Catalog Number | 66021496 |
Operator | LAY USER/PATIENT |
Device Availability | * |
Device Eval'ed by Mfgr | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | SMITH & NEPHEW MEDICAL LTD. |
Manufacturer Address | 101 HESSLE ROAD HULL HU3 2BN UK HU3 2BN |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2020-03-27 |