FDA Adverse Event Malfunction Summary report: N

GLIDESCOPE COBALT AVL MONITOR, PACK

MDR report key: 2972121 · Received February 15, 2013

Report

Report Number
9615393-2013-00071
Event Type
Malfunction
Date Received
February 15, 2013
Date of Event
January 17, 2013
Report Date
January 17, 2013
Manufacturer
VERATHON MEDICAL (CANADA) ULC.
Product Code
CCW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE REPORTED ISSUE WAS CONFIRMED AND THE FAULTY BATTERY CHARGER WAS REPLACED. THE SERVICE REP ALSO REPLACED THE RESISTOR 132 WITH SCHOTTKY DIODE. THE SYSTEM OPERATES AS INTENDED.

Description of Event or Problem · 1

IT WAS REPORTED THAT WHEN THE CUSTOMER TURNED ON THE MONITOR, IT IMMEDIATELY TURNS OFF ON TIS OWN. THEY PURCHASED A BATTERY KIT FOR THE MONITOR AND REPLACED IT BUT THE MONITOR STILL HAS THE SAME PROBLEM. NO PT INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
69463 GLIDESCOPE COBALT AVL MONITOR, PACK NONE CCW VERATHON MEDICAL (CANADA) ULC. 0570-0314

Patients

Seq Age Sex Outcome Treatment
1