FDA Adverse Event
Malfunction
Summary report: N
PM 9000 EXPRESS MONITOR
MDR report key: 3091058
·
Received April 30, 2013
Report
- Report Number
- 2221819-2013-00796
- Event Type
- Malfunction
- Date Received
- April 30, 2013
- Date of Event
- March 22, 2013
- Report Date
- April 30, 2013
- Manufacturer
- MINDRAY DS USA, INC.
- Product Code
- MHX
- PMA / PMN Number
- 062754
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
SERVICE REPRESENTATIVE REPLACED THE UNITS TUBING AND WATER RECEPTACLE. CALIBRATED CO2. FUNCTIONAL AND SAFETY TESTED TO FACTORY SPECS.
Description of Event or Problem · 1
CUSTOMER REPORTED AN ISSUE WITH THE PM 9000 EXPRESS MONITOR WHICH MAY HAVE AFFECTED CO2 READINGS. NO PATIENT INJURY WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 188223 | PM 9000 EXPRESS MONITOR | PATIENT MONITOR | MHX | MINDRAY DS USA, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |