SENSICA UO SYSTEM

Additional Manufacturer Narrative

THE REPORTED ISSUE WAS CONFIRMED. THE ROOT CAUSE OF THE REPORTED ISSUE WAS THAT THE OPTICAL SENSOR WAS NOT SITUATED CORRECTLY IN THE HOUSING CAUSING IT TO READ INCORRECTLY. THE DEVICE HISTORY RECORD WAS REVIEWED AND FOUND NOTHING THAT COULD HAVE CAUSED OR CONTRIBUTED TO THE REPORTED EVENT. THE INSTRUCTIONS FOR USE WERE FOUND ADEQUATE AND STATE THE FOLLOWING: "1.1 INTRODUCTION THIS MANUAL PROVIDES THE INDICATIONS, CONTRAINDICATIONS, WARNINGS, PRECAUTIONS, AND INSTRUCTIONS FOR USE WITH THE BD SENSICA¿ URINE OUTPUT SYSTEM. CAREFULLY READ THIS MANUAL IN ITS ENTIRETY BEFORE USING THE BD SENSICA¿ URINE OUTPUT SYSTEM. FAILURE TO FOLLOW THESE INSTRUCTIONS MAY RESULT IN IMPROPER USE OF THIS DEVICE. CONTACT CUSTOMER SERVICE AT (B)(6) WITH ANY QUESTIONS ABOUT THE INFORMATION CONTAINED IN THIS MANUAL OR ABOUT THE OPERATION AND SAFETY OF THE BD SENSICA¿ URINE OUTPUT SYSTEM. 1.2 INDICATIONS FOR USE INDICATIONS: THE BD SENSICA¿ URINE OUTPUT SYSTEM IS AN AUTOMATED SYSTEM FOR CONTINUOUS MONITORING OF URINE OUTPUT (UO) AND CORE BLADDER TEMPERATURE WHEN CONNECTED TO A TEMPERATURE-SENSING FOLEY CATHETER. TARGET POPULATION: THE BD SENSICA¿ URINE OUTPUT SYSTEM IS INTENDED FOR BEDSIDE MONITORING OF URINE OUTPUT FOR ANY PATIENT WITH AN INDWELLING, UROLOGICAL CATHETER, DRAINAGE TUBING AND COLLECTION BAG, TYPICALLY IN CRITICAL CARE SETTINGS OR WHERE CLOSE MONITORING OF URINE OUTPUT IS DESIRED. THE BD SENSICA¿ URINE OUTPUT SYSTEM IS ALSO INTENDED FOR MONITORING CORE BLADDER TEMPERATURE WHEN USED WITH THE BD SENSICA¿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¿ RING. 2. TUBE BAND SHOULD ALIGN WITH TUBE HOLDER WINDOW. 5. ATTACH TEMPERATURE-SENSING FOLEY TO BD SENSICA¿ TEMPERATURE MONITOR MODULE. 1. ATTACH THE BD SENSICA¿ TEMPERATURE SENSOR CABLE TO THE TEMPERATURE-SENSING FOLEY. USE A BD SENSICATM MONOPLUG ADAPTER IF NEEDED. 2. ATTACH THE MAGNETIC END OF THE SENSOR CABLE TO THE MODULE. 6. COMPLETE TUBE COMPLIANCE PROCESS. 1. THE COMPLIANCE PROCESS TAKES 5 MINUTES. THIS ELIMINATES POTENTIAL ARTIFACT ASSOCIATED WITH NEW PATIENT SETUP. 2. MONITORING WILL BEGIN AFTER THIS PROCESS IS COMPLETE. NOTE: SKIPPING THIS PROCESS MAY RESULT IN A SMALL INCREASE IN URINE RECORDED IN THE FIRST 5 MINUTES THAT IS ARTIFACT. 7. PATIENT TOUCH SCREEN DISPLAY. 8. VIEW DATA. 1. ACCESSED THROUGH DATA BUTTON ON HOME SCREEN. 2. DATA SCREENS - USE BUTTONS TO TOGGLE VIEWS. 3. SNAPSHOT SCREEN - PROVIDES PAST SIX HOURS OF DATA. 9. ADD INITIAL UO. 1. SELECT THE CALCULATOR ICON ON THE HOME SCREEN TO MANUALLY ADD ANY URINE OUTPUT THAT IS ALREADY IN THE BAG. 10. ADJUST CATHETER USE TIME. 1. SELECT SHUTDOWN & ACTIONS AND THEN EDIT CATHETER USE TIME. 2. USE THE UP AND DOWN ARROWS TO ADJUST THE CATHETER USE TIME, THEN TOUCH ENTER AND SAVE. 11. ADJUST PATIENT WEIGHT. 1. SELECT SHUTDOWN & ACTIONS AND THEN EDIT PATIENT WEIGHT. 2. USE THE UP AND DOWN ARROWS TO ADJUST THE PATIENT WEIGHT, THEN TOUCH ENTER AND SAVE. 12. TRANSPORTING A PATIENT. 1. DRAIN THE BAG PRIOR TO TRANSPORT. 2. REHANG THE EMPTIED BAG ON THE RING, TOUCH RESUME, AND ALLOW THE SYSTEM TO STABILIZE. 3. REMOVE THE BAG FROM THE BD SENSICATM URINE OUTPUT SYSTEM FOR TRANSPORT. 4. UPON RETURN, REATTACH BAG AND TOUCH RESUME TO CONTINUE MONITORING. THE SYSTEM WILL AUTOMATICALLY ADD ANY URINE OUTPUT TO THE CURRENT HOUR. 13. ADD/SUBTRACT URINE OUTPUT. 1. SELECT THE CALCULATOR ICON ON THE HOME SCREEN TO MANUALLY ADJUST CURRENT HOUR URINE OUTPUT. (I.E. WHEN TAKING A URINE SAMPLE OR IRRIGATING THE BLADDER)" CORRECTION: D, F, H H11: SECTION A THROUGH F - THE INFORMATION PROVIDED BY BARD REPRESENTS ALL OF 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 BARD. F THE ACTUAL/SUSPECTED DEVICE WAS INSPECTED.

Description of Event or Problem

IT WAS REPORTED THAT THE OPTICAL SENSOR FAILED IN THE SENSICA DEVICE AND IT READ ACTUATED WHEN NO TUBE WAS PRESENT. PER FOLLOW-UP ON 11FEB2023, THIS EVENT WAS DISCOVERED DURING THE SOFTWARE UPGRADE OF THE SENSICA DEVICES. PER INVESTIGATOR NOTIFICATION RECEIVED ON 27JUL2023, IT WAS REPORTED THAT THE LOAD CELL WAS DAMAGED.

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 OPTICAL SENSOR FAILED IN THE SENSICA DEVICE AND IT READ ACTUATED WHEN NO TUBE WAS PRESENT. PER FOLLOW-UP ON 11FEB2023, THIS EVENT WAS DISCOVERED DURING THE SOFTWARE UPGRADE OF THE SENSICA DEVICES.