inforMED
MalfunctionEXS

SENSICA UO SYSTEM

Received Apr 7, 2022 · Event occurred Mar 14, 2022

Report 1018233-2022-02088 · MDR key 14043709

Device

Generic name

Sensica Device

Model number

SCCS1002E

Catalog number

SCCS1002E

Lot number

NA

Product problems

  • Device Alarm System
  • Device Alarm System

Patient

Unknown

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

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THE SENSICA DEVICE HAD AN ADDITIONAL VOLUME DETECTED ALARM POP UP DURING EDUCATION. THE NURSES DIDN¿T ADD VOLUME, BUT THE MACHINE ADDED 135ML. THEY WERE PLAYING WITH THE MACHINE, SO THEY DIDN¿T REALLY SEE THE VOLUME ADDITION AS AN ISSUE, BUT THEY WERE CONCERNED WITH THE DURATION OF THE ALARM. THEY SWEAR IT WAS LESS THAN 30 SECONDS AS THEY DID NOT HAD TIME TO READ OR ADDRESS IT BEFORE IT DISAPPEARED AND ADDED THE VOLUME. USER STATED TO CHECK IF THE ALARM NOT LASTING THE FULL 30 SECONDS WAS AN ISSUE.

Additional Manufacturer Narrative

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

Description of Event or Problem

IT WAS REPORTED THAT THE SENSICA DEVICE HAD AN ADDITIONAL VOLUME DETECTED ALARM POP UP DURING EDUCATION. THE NURSES DIDN¿T ADD VOLUME, BUT THE MACHINE ADDED 135ML. THEY WERE PLAYING WITH THE MACHINE, SO THEY DIDN¿T REALLY SEE THE VOLUME ADDITION AS AN ISSUE, BUT THEY WERE CONCERNED WITH THE DURATION OF THE ALARM. THEY SWEAR IT WAS LESS THAN 30 SECONDS AS THEY DID NOT HAD TIME TO READ OR ADDRESS IT BEFORE IT DISAPPEARED AND ADDED THE VOLUME. USER STATED TO CHECK IF THE ALARM NOT LASTING THE FULL 30 SECONDS WAS AN ISSUE.

Additional Manufacturer Narrative

THE REPORTED ISSUE WAS UNCONFIRMED. THE ROOT CAUSE OF THE REPORTED ISSUE COULD NOT BE DETERMINED AS THE REPORTED ISSUE COULD NOT BE REPRODUCED. THE DEVICE WAS EVALUATED UPON RECEIPT. THE PROBLEM WAS COULD NOT BE REPRODUCED. DEVICE PASSED FINAL FUNCTIONAL TESTING. IT IS UNKNOWN WHETHER THE DEVICE WAS INFLUENCED BY THE REPORTED FAILURE, HOWEVER THE DEVICE MET SPECIFICATIONS. THE DEVICE WAS NOT IN USE ON A PATIENT. AS THE REPORTED EVENT IS UNCONFIRMED THEREFORE THE DHR REVIEW IS NOT REQUIRED. BASED ON THE RESULTS OF THIS INVESTIGATIONS, NO ADDITIONAL ACTION IS REQUIRED AT THIS TIME. AS THE REPORTED EVENT IS UNCONFIRMED THEREFORE THE LABELING/PACKAGING REVIEW IS NOT REQUIRED. H11: SECTION A THROUGH F - THE INFORMATION PROVIDED BY BD REPRESENTS ALL THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT / REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO BD.