FDA Adverse Event
Malfunction
Summary report: N
V SERIES MONITOR
MDR report key: 3102637
·
Received May 1, 2013
Report
- Report Number
- 2221819-2013-01045
- Event Type
- Malfunction
- Date Received
- May 1, 2013
- Date of Event
- March 27, 2013
- Report Date
- April 30, 2013
- Manufacturer
- MINDRAY DS USA, INC.
- Product Code
- MHX
- PMA / PMN Number
- 102004
- Report Source
- Manufacturer report
- Reporter Location
- MO, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
CUSTOMER'S IN-HOUSE TECHNICIAN EVALUATED THE SYSTEM AND COULD NOT DUPLICATE THE PROBLEM.
Description of Event or Problem · 1
CUSTOMER REPORTED THE V SERIES MONITOR WERE "MISSING LETHAL ALARMS", WHICH MAY HAVE AFFECTED PT MONITORING. NO PT INJURY WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 190156 | V SERIES MONITOR | PATIENT MONITOR | MHX | MINDRAY DS USA, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |