BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DPM 6 MONITOR

    MDR report key: 3054858 · Received April 1, 2013

    Report

    Report Number
    2221819-2013-00291
    Event Type
    Malfunction
    Date Received
    April 1, 2013
    Date of Event
    January 26, 2012
    Report Date
    March 29, 2013
    Manufacturer
    MINDRAY DS USA, INC.
    Product Code
    MHX
    PMA / PMN Number
    092449
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED A FAILED DPM 6 MONITOR, WHICH MAY HAVE RESULTED IN LOSS OF PRIMARY MONITORING. NO PT INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    133172 DPM 6 MONITOR PATIENT MONITOR MHX MINDRAY DS USA, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1