FDA Adverse Event Malfunction Summary report: N

INFINITY

MDR report key: 1082789 · Received July 23, 2008

Report

Report Number
1220063-2008-00023
Event Type
Malfunction
Date Received
July 23, 2008
Date of Event
June 23, 2008
Report Date
July 23, 2008
Manufacturer
DRAEGER MEDICAL SYSTEMS, INC. (IT/M)
Product Code
MHX
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

WE ARE WAITING FOR THE DEVICE TO BE REC'D FROM DRAEGER LUBECK FOR EVAL. AS SOON AS THE INVESTIGATION IS COMPLETED, WE WILL REPORT THE RESULTS TO FDA.

Description of Event or Problem · 1

THE CUSTOMER REPORTED STRONG BURNED SMELL OF PT MONITOR MDS II DURING USE. THE DEVICE WAS SWITCHED OFF AND THE FAILURE WAS REPORTED. THERE WAS NO PT INJURY REPORTED. THE DEVICE WAS SENT TO DRAEGER LUBECK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INFINITY PATIENT MONITOR MHX DRAEGER MEDICAL SYSTEMS, INC. (IT/M) MS 13221 028566

Patients

Seq Age Sex Outcome Treatment
1