BEUDAMED
    FDA Adverse Event Summary report: N

    *

    MDR report key: 2646273 · Received July 3, 2012

    Report

    Report Number
    2646273
    Date Received
    July 3, 2012
    Date of Event
    July 2, 2012
    Report Date
    July 3, 2012
    Manufacturer
    MORTARA INSTRUMENT, INC
    Product Code
    DPS
    Report Source
    User Facility report
    Reporter Location
    CA, US

    Narratives

    Description of Event or Problem · 1

    STAFF SAW SPARKS COMING FROM POWER CORD IN BACK OF EKG CART. BIOMED WAS CONTACTED, TOOK UNIT BACK TO SHOP. NOTICED BURN ON POWER CORD END AND PLUG ON EKG CART MELTED IN THE BACK OF THE DEVICE, AND CAUSED A HOLE ON BOTTOM OF EKG CART CASE. TOOK PICTURES AND SENT THEM TO MORTARA INSTRUMENTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * ELECTROCARDIOGRAPH DPS MORTARA INSTRUMENT, INC ELI 350 *

    Patients

    Seq Age Sex Outcome Treatment
    1 *