BEUDAMED
    FDA Adverse Event Other Summary report: N

    SC9000XL

    MDR report key: 1416821 · Received July 17, 2009

    Report

    Report Number
    1220063-2009-00021
    Event Type
    Other
    Date Received
    July 17, 2009
    Date of Event
    July 7, 2009
    Report Date
    July 17, 2009
    Manufacturer
    DRAEGER MEDICAL SYSTEMS, INC. (IT/M)
    Product Code
    MHX
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SW
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    DRAEGER IS STILL INVESTIGATING THIS REPORTED INCIDENT. A F/U REPORT WILL BE SUBMITTED AS SOON AS THE INVESTIGATION IS COMPLETED.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT AN SC9000XL MONITOR NORMALLY DOCKED ON A DOCKING STATION, FELL ON PT LOCATED IN A BED. (B) (4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SC9000XL PATIENT MONITOR MHX DRAEGER MEDICAL SYSTEMS, INC. (IT/M) UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Other NO