FDA Adverse Event
Malfunction
Summary report: N
PANORAMA TIM
MDR report key: 2980759
·
Received January 29, 2013
Report
- Report Number
- 2221819-2013-00022
- Event Type
- Malfunction
- Date Received
- January 29, 2013
- Date of Event
- October 10, 2012
- Report Date
- January 30, 2013
- Manufacturer
- MINDRAY DS USA, INC.
- Product Code
- MHX
- PMA / PMN Number
- 011540
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MO, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
THE COMPANY REP EVALUATED THE PANORAMA TIM AND VERIFIED THE REPORTED PROBLEM. CORRECTIONS INCLUDED REPLACEMENT OF THE POWER SUPPLY AND ADJUSTMENT OF THE VOLTS POWER OF THE ANTENNA OUTPUTS. THE SYS WAS TESTED TO FACTORY'S SPECIFICATIONS. IT FUNCTIONED NORMALLY AND WAS RETURNED TO USE.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THE PANORAMA WIRELESS TRANSCEIVER (TIM) DOES NOT COMMUNICATE WITH THE SERVER AND THERE WAS NO POWER ON THE ANTENNAS, WHICH MAY HAVE RESULTED IN A LOSS OF TELEMETRY MONITORING. NO PT INJURY WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 40010 | PANORAMA TIM | NONE | MHX | MINDRAY DS USA, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |