BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PANORAMA CENTRAL STATION W/TELEPACK

    MDR report key: 3091112 · Received April 30, 2013

    Report

    Report Number
    2221819-2013-00861
    Event Type
    Malfunction
    Date Received
    April 30, 2013
    Date of Event
    March 17, 2013
    Report Date
    April 30, 2013
    Manufacturer
    MINDRAY DS USA, INC.
    Product Code
    MHX
    PMA / PMN Number
    031760
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    SERVICE REPRESENTATIVES IDENTIFIED AN OUTSIDE SOURCE OF INTERFERENCE WHICH WAS REPORTED TO HAVE RESOLVED ITSELF.

    Description of Event or Problem · 1

    CUSTOMER REPORTED AN ISSUE WITH THE PANORAMA TELEPACK WHICH MAY HAVE RESULTED IN A LOSS OF AMBULATORY TELEMETRY MONITORING. NO PT INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    187097 PANORAMA CENTRAL STATION W/TELEPACK CENTRAL MONITORIGN STATION MHX MINDRAY DS USA, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1