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