FDA Adverse Event
Malfunction
Summary report: N
VS NEWBORN HEART RATE MONITOR
MDR report key: 20187956
·
Received September 11, 2024
Report
- Report Number
- 3018685978-2024-00001
- Event Type
- Malfunction
- Date Received
- September 11, 2024
- Date of Event
- August 12, 2024
- Report Date
- August 12, 2024
- Manufacturer
- SUREPULSE MEDICAL LIMITED
- Product Code
- DQA
- PMA / PMN Number
- K201887
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NL
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
A USER FACILITY USING THE SUREPULSE VS NEWBORN HEART RATE MONITOR REPORTED THAT ONE OF THE DEVICES WOULD NOT TURN ON. THEY REPORTED THAT AFTER SUCCESSFUL USE, THE DEVICE WAS LEFT NOT PLUGGED IN AND THE BATTERY SUBSEQUENTLY FULLY DRAINED. THE DEVICE WAS NOT BEING USED. AFTER THAT POINT THE DEVICE HAS NOT BEEN ABLE TO BE TURNED BACK ON EVEN CONNECTED TO ITS MAINS POWER SUPPLY. THE USER FACILITY ATTEMPTED TO REPAIR THE DEVICE BY SWAPPING THE BATTERY BUT HAVE BEEN UNABLE TO GET IT TO TURN ON AGAIN. THERE IS NO FURTHER INFORMATION AT PRESENT AND WE HAVE NOT BEEN ABLE TO INSPECT THE DEVICE AT THIS STAGE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1601773 | VS NEWBORN HEART RATE MONITOR | HEART RATE MONITOR | DQA | SUREPULSE MEDICAL LIMITED |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |