FDA Adverse Event Malfunction Summary report: N

BENEVIEW MONITOR

MDR report key: 3091727 · Received April 30, 2013

Report

Report Number
2221819-2013-00230
Event Type
Malfunction
Date Received
April 30, 2013
Date of Event
November 26, 2012
Report Date
April 30, 2013
Manufacturer
SHENZHEN BIOMEDICAL ELECTRONICS CO.
Product Code
MHX
PMA / PMN Number
092449
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

CUSTOMER REPORTED A BENEVIEW MONITOR'S MPM MODULE FAILED, RESULTING IN A POSSIBLE LOSS OF PRIMARY MONITORING. NO PT INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
187147 BENEVIEW MONITOR PATIENT MONITOR MHX SHENZHEN BIOMEDICAL ELECTRONICS CO.

Patients

Seq Age Sex Outcome Treatment
1