BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DPM3 MONITOR

    MDR report key: 3091682 · Received April 30, 2013

    Report

    Report Number
    2221819-2013-00273
    Event Type
    Malfunction
    Date Received
    April 30, 2013
    Date of Event
    January 11, 2013
    Report Date
    April 30, 2013
    Manufacturer
    MINDRAY DS USA, INC.
    Product Code
    DQA
    PMA / PMN Number
    072235
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CUSTOMER REPORTED A DPM3 MONITOR FAILURE, RESULTING IN A POSSIBLE LOSS OF MONITORING. NO PT INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    186946 DPM3 MONITOR PATIENT MONITOR DQA MINDRAY DS USA, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1