FDA Adverse Event Summary report: N

SPACELABS MCARE VITAL SIGNS MONITOR

MDR report key: 1882421 · Received October 20, 2010

Report

Report Number
3023361-2010-00071
Date Received
October 20, 2010
Date of Event
October 20, 2010
Report Date
October 20, 2010
Manufacturer
SPACELABS HEALTHCARE
Product Code
MHX
PMA / PMN Number
K062095
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TW
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

SPACELABS INVESTIGATION INTO THIS MATTER IS ON-GOING. THE EQUIPMENT IS STILL IN USE AT THE HOSPITAL. NO ONE HAS BEEN INJURED AS A RESULT OF THIS ALLEGED MALFUNCTION. WE WILL PROVIDE A SUPPLEMENTAL REPORT ONCE OUR INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

SPACELABS RECEIVED A REPORT OF THAT THE NUMERIC HEART RATE VALUE PRINTED ON THE STRIP RECORDING DOES NOT MATCH THE HEART RATE OBTAINED FROM THE WAVEFORM R-R INTERVAL MEASURED ON THE SAME STRIP. THE REPORT INDICATED THAT THE NUMERIC HEART RATE VALUE WAS THE SAME AS THE RESPIRATION RATE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SPACELABS MCARE VITAL SIGNS MONITOR MULTIPARAMETER PATIENT MONITOR MHX SPACELABS HEALTHCARE 91220

Patients

Seq Age Sex Outcome Treatment
1