FDA Adverse Event Malfunction Summary report: N

PORTABLE VIDEO MONITOR, GVL-2000

MDR report key: 3000140 · Received February 14, 2013

Report

Report Number
9615393-2013-00063
Event Type
Malfunction
Date Received
February 14, 2013
Date of Event
January 16, 2013
Report Date
January 16, 2013
Manufacturer
VERATHON MEDICAL (CANADA) ULC.
Product Code
CCW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

SERVICE RECEIVED THE DEVICE FOR FURTHER EVAL. SERVICE PLUGGED IN THE MONITOR AND THE CHARGE LED WAS BLINKING. THEN SERVICE OPENED THE UNIT AND SAW THAT THE WIRE FROM THE SWITCH TO THE POWER PCBA (POWER CIRCUIT BOARD ASSEMBLY) WAS DISCONNECTED. SERVICE RESOLDERED THE WIRE AND PUT THE UNIT BACK TOGETHER. SERVICE CONFIRMED THE REPORTED FAILURE WHICH WAS DUE TO A LOOSE WIRE FROM THE SWITCH TO THE POWER PCBA.

Description of Event or Problem · 1

THE CUSTOMER CONTACTED VERATHON INC. REGARDING A PORTABLE VIDEO MONITOR, GVL-2000 THAT HAS A POWER MANAGEMENT ISSUE. THE PORTABLE VIDEO MONITOR, GVL-2000 WILL NOT HOLD CHARGE. THERE IS NO INJURY TO THE PT REPORTED IN THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
65386 PORTABLE VIDEO MONITOR, GVL-2000 NONE CCW VERATHON MEDICAL (CANADA) ULC. 0231-0003

Patients

Seq Age Sex Outcome Treatment
1