inforMED
MalfunctionDPW

20 MHZ MICRO DISPOSABLE DOPPLER PROBE

Received Oct 1, 2020 · Event occurred Sep 30, 2020

Report MW5097037 · MDR key 10619627

Device

Generic name

Flowmeter, Blood, Cardiovascular

Model number

07-150-12

Catalog number

(240)138665

Lot number

(10)17128

Product problems

  • Break

Patient

57 YR

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

THE 1ST TWO DISPOSABLE MICRO DOPPLERS DID NOT WORK. THE 3RD DOPPLER WORKED WITHOUT ISSUE. THE CONSOLE HAD ALSO BEEN EVALUATED WITH NO ISSUES IDENTIFIED. FDA SAFETY REPORT ID# (B)(4).