FDA Adverse Event
Malfunction
Summary report: N
VISA
MDR report key: 123240
·
Received September 26, 1997
Report
- Report Number
- 2221819-1997-00573
- Event Type
- Malfunction
- Date Received
- September 26, 1997
- Date of Event
- June 24, 1997
- Report Date
- June 24, 1997
- Manufacturer
- DATASCOPE CORP.
- Product Code
- DRT
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT WHILE PREPARING THE UNIT FOR USE ON A PT, THEY PERFORMED A ROUTINE CHECK OF THE UNIT, AND THE EKG INFO WAS NOT DISPLAYED ON THE CENTRAL STATION MONITOR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | VISA | CENTRAL STATION MONITOR | DRT | DATASCOPE CORP. | VISA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN |