FDA Adverse Event
Malfunction
Summary report: N
DPM CENTRAL STATION W/ TELEPACK
MDR report key: 3091209
·
Received April 30, 2013
Report
- Report Number
- 2221819-2013-00788
- Event Type
- Malfunction
- Date Received
- April 30, 2013
- Date of Event
- February 28, 2013
- Report Date
- April 30, 2013
- Manufacturer
- MINDRAY DS USA, INC.
- Product Code
- MSX
- PMA / PMN Number
- 080192
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
COMPANY REP EVALUATED AND REBOOTED THE SYSTEM. SYSTEM WAS SAFETY TESTED TO FACTORY SPECIFICATIONS.
Description of Event or Problem · 1
CUSTOMER REPORTED THE DPM CENTRAL STATION'S DISPLAY HAD AN ALARM EVENT STUCK ON THE SCREEN, WHICH MAY HAVE RESULTED IN LOSS OF TELEMETRY MONITORING. NO PATIENT INJURY WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 188148 | DPM CENTRAL STATION W/ TELEPACK | CENTRAL MONITORING STATION | MSX | MINDRAY DS USA, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |