inforMED
MalfunctionEXS

SENSICA UO SYSTEM

Received May 10, 2023 · Event occurred Apr 20, 2023

Report 1018233-2023-03298 · MDR key 16902459

Device

Generic name

Sensica Uo System

Model number

SCCS1002

Catalog number

SCCS1002

Lot number

NA

Product problems

  • Computer Software Problem
  • Computer Software Problem

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 MONITOR FREEZES AND POWERS DOWN, WHICH LOSES ALL DATA ON THE SENSICA URINE OUTPUT SYSTEM. OCCURS EVEN WHEN PLUGGED. IF DATA WAS PRESENT, IT WAS ERASED. THE DEVICE WAS PLUGGED IN. USERS EXPRESS INACCURATE HOURLY URINE OUTPUT. NURSE CONFIRMED THE BAG HAD LESS THAN 40CC AND THE DEVICE DID NOT CAPTURE. NO DEPENDENT LOOPS WERE OBSERVED. USERS REPORT NO URINE OUTPUT FOR UP TO 6 HOURS WHILE MONITORING ACTIVELY IN PROGRESS. BAG WAS EMPTIED WITHOUT MONITORING.

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. PER INVESTIGATION PRESENTATION, ALL DATA IS RECORDED ON THE DEVICE LOGS WHEN THE SYSTEM IS POWERED ON. R&D AND QUALITY TESTED BATTERY SHUTDOWN AND RECOVER WITH FOUR SCENARIOS AND WAS UNABLE TO RECREATE A DATA LOSS. IT IS UNKNOWN WHETHER THE DEVICE WAS INFLUENCED BY THE REPORTED FAILURE, HOWEVER THE DEVICE MET SPECIFICATIONS. THE DEVICE WAS IN USE ON A PATIENT. THE REPORTED EVENT IS UNCONFIRMED, DHR REVIEW IS NOT REQUIRED. THE REPORTED EVENT IS UNCONFIRMED, 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. H3 OTHER TEXT: THE DEVICE WAS NOT RETURNED.

Additional Manufacturer Narrative

THE INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE A SUPPLEMENTAL REPORT WILL BE FILED. 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. H3 OTHER TEXT : THE DEVICE WAS NOT RETURNED.

Description of Event or Problem

IT WAS REPORTED THAT THE MONITOR FREEZES AND POWERS DOWN, WHICH LOSES ALL DATA ON THE SENSICA URINE OUTPUT SYSTEM. OCCURS EVEN WHEN PLUGGED. IF DATA WAS PRESENT, IT WAS ERASED. THE DEVICE WAS PLUGGED IN. USERS EXPRESS INACCURATE HOURLY URINE OUTPUT. NURSE CONFIRMED THE BAG HAD LESS THAN 40CC AND THE DEVICE DID NOT CAPTURE. NO DEPENDENT LOOPS WERE OBSERVED. USERS REPORT NO URINE OUTPUT FOR UP TO 6 HOURS WHILE MONITORING ACTIVELY IN PROGRESS. BAG WAS EMPTIED WITHOUT MONITORING.