inforMED
MalfunctionCAP

PORTEX CUFF PRESSURE MONITORING

Received Apr 6, 2023 · Event occurred Feb 1, 2023

Report 3012307300-2023-03683 · MDR key 16693300

Device

Generic name

Cuff Inflator Pressure Gauge

Catalog number

100/568/000

Lot number

4178689

Product problems

  • Display or Visual Feedback Problem
  • Output Problem
  • Display or Visual Feedback Problem
  • Output Problem

Patient

Unknown

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

Narrative

Additional Manufacturer Narrative

OTHER TEXT: H3. DEVICE EVALUATED BY MANUFACTURER AND EVENT PROBLEM AND EVALUATION CODES: UPDATED. ONE USED DECONTAMINATED SAMPLE WAS RETURNED WITH ITS ORIGINAL PACKAGING. UNDER VISUAL INSPECTION THE SAMPLE APPEARED TO BE IN GOOD CONDITION. OUTLET NOZZLE WAS OCCLUDED BY FINGER AND CUFF INFLATOR WAS INFLATED FROM ZERO TO MAXIMUM SEVERAL TIMES. NO ABNORMALITIES WERE OBSERVED; POINTER WAS SMOOTHLY MOVING ACROSS WHOLE MEASURING RANGE. BASED ON FUNCTIONAL TESTING THE COMPLAINT WAS NOT CONFIRMED. THERE HAVE BEEN NO REPORTS OF SIMILAR COMPLAINTS GOING BACK TWO YEARS. A DEVICE HISTORY RECORD (DHR) REVIEW WAS NOT PERFORMED AS NO FAULT WAS FOUND.

Additional Manufacturer Narrative

DATE OF EVENT: MONTH AND YEAR OF EVENT HAVE BEEN PROVIDED, DAY IS UNKNOWN. UDI NUMBER IS UNKNOWN, NO INFORMATION HAS BEEN PROVIDED TO DATE. 510K IS BLANK DEVICE IS EXEMPT. INVESTIGATION INCLUDING ROOT CAUSE ANALYSIS IS IN PROGRESS. A SUPPLEMENTAL MDR WILL BE FILED AS NECESSARY IN ACCORDANCE WITH 21 CFR 803.56 WHEN ADDITIONAL REPORTABLE INFORMATION BECOMES AVAILABLE.

Description of Event or Problem

IT WAS REPORTED THAT DURING THE USE OF THE PRODUCT, THE CUSTOMER NOTICED THE INDICATOR NEEDLE WOULD NOT MOVE SMOOTHLY. NO PATIENT INJURY WAS REPORTED. NO ADDITIONAL INFORMATION IS AVAILABLE FOR THIS COMPLAINT.