FDA Adverse Event Malfunction Summary report: N

TEMPERATURE ADAPTER CABLE ASSEMBLY

MDR report key: 1073714 · Received July 1, 2008

Report

Report Number
3023361-2008-00018
Event Type
Malfunction
Date Received
July 1, 2008
Date of Event
September 27, 2007
Report Date
July 1, 2008
Manufacturer
SPACELABS HEALTHCARE
Product Code
MHX
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TC
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

SPACELABS PERFORMED A HEALTH HAZARD EVALUATION IN 2007, WHICH IDENTIFIED THAT MITIGATION IS REQUIRED TO PREVENT POSSIBLY DELAY IN PT CARE. REVIEW OF OUR POST MARKET SURVEILLANCE HAS REVEALED THAT SPACELABS HAD NOT PREVIOUSLY SUBMITTED A REPORT OF THIS ISSUE TO THE FDA. WE ARE NOW REPORTING THIS ISSUE AS REQUIRED.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT A TOTAL OF THREE TEMPERATURE ADAPTER CABLES PART NUMBER 700-0031-00 WERE CAUSING INTERMITTENT DROPOUTS OR NOT SIGNING ON. IT WAS REPORTED THAT IN THIS FAILURE MODE, THE TEMPERATURE VALUE COULD NOT BE VIEWED ON THE MONITOR. NO INJURIES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TEMPERATURE ADAPTER CABLE ASSEMBLY NONE MHX SPACELABS HEALTHCARE OSC 03/07

Patients

Seq Age Sex Outcome Treatment
1 Other