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