FDA Adverse Event
Malfunction
Summary report: N
MEDRAD VERIS MR VITAL SIGNS MONITOR
MDR report key: 3612438
·
Received December 6, 2013
Report
- Report Number
- 2520313-2013-00057
- Event Type
- Malfunction
- Date Received
- December 6, 2013
- Date of Event
- May 1, 2013
- Report Date
- May 1, 2013
- Manufacturer
- MEDRAD
- Product Code
- MWI
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
BAYER R & I QA PRODUCT ANALYSIS RECEIVED AND EXAMINED THE RETURNED VERIS MAIN PCB (PRINTED CIRCUIT BOARD) AND DETERMINED IT TO BE MALFUNCTIONING. BAYER R & I SERVICE REPLACED THE PCB MAIN BOARD AT THE SITE AND CONFIRMED SYSTEM FUNCTIONALITY. ON (B)(4) 2013, BAYER HEALTHCARE DISTRIBUTED A FIELD SAFETY NOTICE RECALLING MAIN BOARDS WITH PART NUMBER 301641 THAT WERE INSTALLED IN SOME MEDRAD VERIS MR VITAL SIGNS MONITORS. THESE MAIN BOARDS ARE BEING RECALLED DUE TO THE POTENTIAL FOR UNEXPECTED SHUTDOWN OF THE SYSTEM WHILE IN USE.
Description of Event or Problem · 1
A BAYER R & I REP REPORTED THE FOLLOWING: THE MONITOR WOULD TURN OFF AFTER A FEW MINUTES. THERE WAS NO INJURY OR ADVERSE EVENT REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 634859 | MEDRAD VERIS MR VITAL SIGNS MONITOR | MONITOR, PHYSIOLOGICAL PATIENT | MWI | MEDRAD | 3014268 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |