FDA Adverse Event
Malfunction
Summary report: N
MONARCH PLATFORM
MDR report key: 21032403
·
Received December 29, 2024
Report
- Report Number
- 3014447948-2024-00029
- Event Type
- Malfunction
- Date Received
- December 29, 2024
- Date of Event
- December 4, 2024
- Manufacturer
- AURIS HEALTH, INC.
- Product Code
- QNW
- UDI-DI
- B634MBR000211A1
- PMA / PMN Number
- K231473
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SC, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
IT WAS REPORTED THAT AFTER THE PATIENT WAS ON THE TABLE UNDER ANESTHESIA PHYSICIAN EXPERIENCED EM SENSOR ERROR. THE PHYSICIAN ELECTED TO ABORT THE CASE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1718483 | MONARCH PLATFORM | BRONCHOSCOPE (FLEXIBLE OR RIGID) AND ACCESSORIES | QNW | AURIS HEALTH, INC. | MBR-000211-A | B634MBR000211A1 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |