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 |