FDA Adverse Event
Malfunction
Summary report: N
DPM CENTRAL STATION
MDR report key: 3102683
·
Received May 1, 2013
Report
- Report Number
- 2221819-2013-01030
- Event Type
- Malfunction
- Date Received
- May 1, 2013
- Date of Event
- March 7, 2013
- Report Date
- April 30, 2013
- Manufacturer
- MINDRAY DS USA, INC
- Product Code
- MSX
- PMA / PMN Number
- 080192
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- KY, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
IT WAS DETERMINED THAT THE CUSTOMER HAD REMOVED THE PT FROM A DPM BEDSIDE MONITOR TO PERFORM CARDIOVERSION AND DID NOT READMIT THE PT BACK TO THE SYSTEM; THEREFORE, NO DATA WAS AVAILABLE.
Description of Event or Problem · 1
CUSTOMER REPORTED THEY WERE UNABLE TO OBTAIN COMPLETE TRENDED DATA FROM THE DPM CENTRAL STATION ON A PT WHO EXPIRED. CUSTOMER DID NOT ATTRIBUTE THE PT'S DEATH TO THE DEVICE AND NO DEVICE MALFUNCTION WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 190719 | DPM CENTRAL STATION | CENTRAL MONITORING STATION | MSX | MINDRAY DS USA, INC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |