FDA Adverse Event Malfunction Summary report: N

DPM 6/7 MONITOR

MDR report key: 3091093 · Received April 30, 2013

Report

Report Number
2221819-2013-00959
Event Type
Malfunction
Date Received
April 30, 2013
Date of Event
March 21, 2013
Report Date
April 30, 2013
Manufacturer
MINDRAY DS USA, INC.
Product Code
MHX
PMA / PMN Number
092449
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

SERVICE REPRESENTATIVE REPLACED THE UNITS GAS MODULE. CALIBRATED UNIT TO FACTORY SPECIFICATIONS.

Description of Event or Problem · 1

CUSTOMER REPORTED THE DPM 6/7 MONITOR'S GAS MODULE WOULD NOT ZERO, WHICH MAY HAVE IMPACTED GAS MONITORING. NO PT INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
187881 DPM 6/7 MONITOR PATIENT MONITOR MHX MINDRAY DS USA, INC.

Patients

Seq Age Sex Outcome Treatment
1