FDA Adverse Event Malfunction Summary report: N

MEDRAD VERIS MR VITAL SIGNS MONITOR

MDR report key: 2993103 · Received March 1, 2013

Report

Report Number
2520313-2013-00011
Event Type
Malfunction
Date Received
March 1, 2013
Date of Event
September 7, 2012
Report Date
October 31, 2012
Manufacturer
MEDRAD
Product Code
MWI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

BAYER SERVICE CONFIRMED THAT THE POWER SUPPLY CABLE WAS MELTED AND THAT THE VERIS UNIT WOULD NOT CHARGE, BAYER R AND I PRODUCT ANALYSIS RECEIVED AND EVALUATED THE VERIS POWER SUPPLY MODULE AND THE VERIS POWER SUPPLY CABLE FROM THE SITE. VISUAL EXAMINATION CONFIRMED THE CONDITION OF THE RETURNED DC POWER CABLE INDICATING THAT THERE WAS AN INTERNAL TEMPERATURE SUFFICIENT TO MELT THE JACKET OF THE CABLE. THE OVERHEATING IN THE POWER CABLE WAS CONCENTRATED AT THE AREA WHERE THE COILS WERE GATHERED. THE CAUSE OF THE REPORTED PROBLEM IS A RUNAWAY CURRENT CONDITION THAT IS INITIATED BY A SHORT CIRCUIT WITHIN THE DC POWER CABLE. THE POWER SUPPLY MALFUNCTIONED DUE TO A BLOWN LINES FUSES AND CIRCUIT BOARD DAMAGE.

Description of Event or Problem · 1

A BAYER R AND I REPRESENTATIVE REPORTED THE FOLLOWING: THE VERIS UNIT WOULD NOT CHARGE. THE CABLE GOING FROM THE POWER MODULE TO THE VERIS WAS MELTED. NO INJURY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
88716 MEDRAD VERIS MR VITAL SIGNS MONITOR MONITOR, PHYSIOLOGICAL PATIENT MWI MEDRAD 3011994

Patients

Seq Age Sex Outcome Treatment
1