FDA Adverse Event Malfunction Summary report: N

PORTABLE VIDEO MONITOR, GVL-2000

MDR report key: 2972571 · Received February 15, 2013

Report

Report Number
9615393-2013-00090
Event Type
Malfunction
Date Received
February 15, 2013
Date of Event
January 18, 2013
Report Date
January 18, 2013
Manufacturer
VERATHON MEDICAL (CANADA) ULC
Product Code
CCW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

EVALUATION RESULTS PENDING ANALYSIS OF THE PRODUCT.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE CUSTOMER WAS HAVING DIFFICULTIES WITH SEEING THE VIDEO IMAGE ON THE MONITOR. NO PATIENT INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
69842 PORTABLE VIDEO MONITOR, GVL-2000 NONE CCW VERATHON MEDICAL (CANADA) ULC 0231-0003

Patients

Seq Age Sex Outcome Treatment
1