FDA Adverse Event Malfunction Summary report: N

DPM 6/7 MONITOR

MDR report key: 3091664 · Received April 30, 2013

Report

Report Number
2221819-2013-00567
Event Type
Malfunction
Date Received
April 30, 2013
Date of Event
January 31, 2011
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
NE, US
Reporter Occupation
UNKNOWN

Narratives

Description of Event or Problem · 1

CUSTOMER REPORTED THE DPM 6/7 MONITOR'S GAS MODULE FAILED WHICH MAY HAVE IN A LOSS OF GAS MONITORING. NO PT INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
187701 DPM 6/7 MONITOR PATIENT MONITOR MHX MINDRAY DS USA, INC

Patients

Seq Age Sex Outcome Treatment
1