FDA Adverse Event Malfunction Summary report: N

PANORAMA CENTRAL STATION

MDR report key: 2981009 · Received January 29, 2013

Report

Report Number
2221819-2013-00017
Event Type
Malfunction
Date Received
January 29, 2013
Date of Event
September 24, 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
SD, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE COMPANY REP EVALUATED THE SYSTEM AND FOUND THAT SEVERAL CAPACITORS IN THE SYSTEM MOTHERBOARD WERE BLOWN. CORRECTIONS INCLUDED REPLACEMENT OF THE MOTHERBOARD. THE SYSTEM WAS TESTED TO FACTORY'S SPECIFICATION. IT FUNCTIONED AND WAS RETURNED FOR USE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THE PANORAMA CENTRAL STATION HAD A BLACK SCREEN, WHICH MAY HAVE RESULTED IN A LOSS OF AMBULATORY TELEMETRY MONITORING. NO PT INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
38582 PANORAMA CENTRAL STATION NONE MHX MINDRAY DS USA, INC.

Patients

Seq Age Sex Outcome Treatment
1