FDA Adverse Event Malfunction Summary report: N

DINAMAP PROCARE 300

MDR report key: 2922036 · Received January 15, 2013

Report

Report Number
3008729547-2013-00001
Event Type
Malfunction
Date Received
January 15, 2013
Date of Event
December 18, 2012
Report Date
December 18, 2012
Manufacturer
CRITIKON DE MEXICO S. DE R.L. DE C.V.
Product Code
MWI
PMA / PMN Number
K014255
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SN
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

OCCUPATION OF REPORTER IS UNKNOWN. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED A BURNING SMELL COMING FROM THE UNIT. THE GE FIELD ENGINEER FOUND THE SMELL WAS DUE TO A DAMAGED POWER CABLE HEAD WHICH HAD MELTED AND BURNED. THERE WAS NO REPORTED PT INJURY ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
22560 DINAMAP PROCARE 300 PHYSIOLOGICAL PATIENT MONITOR MWI CRITIKON DE MEXICO S. DE R.L. DE C.V.

Patients

Seq Age Sex Outcome Treatment
1