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