FDA Adverse Event Malfunction Summary report: N

MEDRAD VERIS MR VITAL SIGNS MONITOR

MDR report key: 3800540 · Received February 11, 2014

Report

Report Number
2520313-2014-00008
Event Type
Malfunction
Date Received
February 11, 2014
Date of Event
January 20, 2014
Report Date
January 20, 2014
Manufacturer
BAYER MEDICAL CARE, INC.
Product Code
MHX
Removal / Correction Number
Z-0810-2014
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

BAYER R & I SERVICE REPLACED THE SYSTEM MAINBOARD AT THE SITE AND CONFIRMED SYSTEM FUNCTIONALITY. ON (B)(6) 2013, (B)(4) 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 REPRESENTATIVE REPORTED THE FOLLOWING: THE SYSTEM WOULD RANDOMLY TURN OFF WHILE IN USE. THE CUSTOMER CONFIRMED, VIA TELEPHONE CONVERSATION, THAT THERE WAS NO INJURY OR ADVERSE EVENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
89034 MEDRAD VERIS MR VITAL SIGNS MONITOR MONITOR, PHYSIOLOGICAL PATIENT MHX BAYER MEDICAL CARE, INC. 3011994W

Patients

Seq Age Sex Outcome Treatment
1