FDA Adverse Event Malfunction Summary report: N

ACUITY CENTRAL MONITORING

MDR report key: 2031739 · Received February 25, 2011

Report

Report Number
3023750-2011-00015
Event Type
Malfunction
Date Received
February 25, 2011
Date of Event
February 3, 2011
Report Date
February 3, 2011
Manufacturer
WELCH ALLYN PROTOCOL, INC.
Product Code
DSI
PMA / PMN Number
K052160
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NH, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE EVALUATION IS NOT YET COMPLETE. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETED.

Description of Event or Problem · 1

THE CUSTOMER STATED THAT WHEN HE BROUGHT HIS ACUITY CENTRALIZED PATIENT MONITORING SYSTEM DOWN TO REPLACE THE KEYBOARD, THE SYSTEM BOOTED TO "CANNOT OPEN" /ETC/PATH_TO_INST." MESSAGE. A BOOT -R COMMAND DID NOT RESOLVE THE PROBLEM. THERE WAS NO REPORT OF PATIENT HARM AS A RESULT OF THE REPORTED EVENT. THE CUSTOMER DID NOT PROVIDE ANY PATIENT INFORMATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACUITY CENTRAL MONITORING DSI WELCH ALLYN PROTOCOL, INC. ACUITY SW 6.31.00

Patients

Seq Age Sex Outcome Treatment
1