TERUMO CARDIOVASCULAR SYSTEMS CORPORATION CDI BLOOD PARAMETER MONITORING SYSTEM 500; MONITOR, BLOOD-GAS, ON-LINE, CARDIOPULMONARY BYPASS-CDI BPM SYSTEM 500
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Model Number 500AHCT |
Device Problem
Incorrect, Inadequate or Imprecise Result or Readings (1535)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 10/20/2021 |
Event Type
malfunction
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Manufacturer Narrative
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During laboratory evaluation, the product surveillance technician (pst) observed the unit to display a temperature significantly lower than the actual temperature.He first observed the monitor to measure the air temperature within 0.4 celsius (c) of the actual temperature, and when connected to a shunt sensor, was within 0.7c.He then placed the unit in a 15c environment where the measured temperature dropped quicker than expected but then stabilized.Then the unit was warmed to 30c where the measured temperature dropped from 18.6c to 9.6c.It was determined the measured temperature readings were fluctuating and read low relative to actual temperature.
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Event Description
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It was reported that during set-up of the device for a cardiopulmonary bypass (cpb) procedure, the blood parameter monitor (bpm) was reading a lower temperature than expected.As a result, an alternate device was employed.The surgical procedure was completed successfully.There was no delay, no blood loss, nor adverse consequences to the patient.
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Manufacturer Narrative
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The reported complaint was confirmed.If additional information becomes available on this complaint that would alter the facts and/or conclusion, a supplemental report will be filed accordingly.
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Search Alerts/Recalls
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