FDA Adverse Event
Malfunction
Summary report: N
ACCUSYNC
MDR report key: 236741
·
Received April 2, 1999
Report
- Report Number
- MW1017016
- Event Type
- Malfunction
- Date Received
- April 2, 1999
- Date of Event
- March 16, 1999
- Report Date
- April 2, 1999
- Manufacturer
- ACCUSYNC MEDICAL RESEARCH CORP.
- Product Code
- DRT
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- IL, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
ACCUSYNC ECG DEVICE GENERATES R-WAVE AND TRIGGER WITHOUT A PT ATTACHED. APPROX AGE OF DEVICE 1 WK.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ACCUSYNC | ECG GATING DEVICE | DRT | ACCUSYNC MEDICAL RESEARCH CORP. | 5220335 | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Other |