FDA Adverse Event Malfunction Summary report: N

DPM CENTRAL STATION

MDR report key: 3091641 · Received April 30, 2013

Report

Report Number
2221819-2013-00637
Event Type
Malfunction
Date Received
April 30, 2013
Date of Event
November 5, 2012
Report Date
April 30, 2012
Manufacturer
MINDRAY DS USA, INC.
Product Code
MHX
PMA / PMN Number
080192
Report Source
Manufacturer report
Reporter Location
WV, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

MINDRAY SERVICE REPRESENTATIVES ADVISED THE CUSTOMER TO CHECK THE CABLES AND REBOOT THE SYSTEM WHICH RESOLVED THE ISSUE.

Description of Event or Problem · 1

CUSTOMER REPORTED AN ISSUE WITH THE DPM 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
186818 DPM CENTRAL STATION CENTRAL MONITORING STATION MHX MINDRAY DS USA, INC.

Patients

Seq Age Sex Outcome Treatment
1