FDA Adverse Event
Malfunction
Summary report: N
DPM 6 MONITOR
MDR report key: 3091733
·
Received April 30, 2013
Report
- Report Number
- 2221819-2013-00797
- Event Type
- Malfunction
- Date Received
- April 30, 2013
- Date of Event
- January 18, 2013
- Manufacturer
- MINDRAY DS USA, INC.
- Product Code
- MHX
- PMA / PMN Number
- 092449
- Report Source
- Manufacturer report
- Reporter Location
- TN, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
MINDRAY SERVICE REPRESENTATIVES REPLACED THE UNITS MPM MODULE AND CHECKED TO FACTORY SPECIFICATIONS.
Description of Event or Problem · 1
CUSTOMER REPORTED A DPM 6 MONITOR WAS NOT FUNCTIONING WHICH MAY HAVE RESULTED IN A LOSS OF PRIMARY MONITORING. NO PT INJURY WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 187161 | DPM 6 MONITOR | PATIENT MONITOR | MHX | MINDRAY DS USA, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |