FDA Adverse Event
Malfunction
Summary report: N
MEDRAD VERIS MR VITAL SIGNS MONITOR
MDR report key: 3878213
·
Received February 14, 2014
Report
- Report Number
- 2520313-2014-00010
- Event Type
- Malfunction
- Date Received
- February 14, 2014
- Date of Event
- January 6, 2014
- Report Date
- January 24, 2014
- Manufacturer
- BAYER MEDICAL CARE, INC
- Product Code
- MHX
- Removal / Correction Number
- Z-0810-2014
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
BAYER R AND I SERVICE REPLACED THE SYSTEM MAINBOARD AT THE SITE AND CONFIRMED SYSTEM FUNCTIONALITY. ON NOVEMBER 21, 2013, BAYER HEALTH 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
THE SITE REPORTED THE FOLLOWING: THE MONITOR SHUT DOWN DURING A PATIENT EXAM. THE POWER WAS RESTORED BY PRESSING THE "ON" BUTTON. THE CUSTOMER CONFIRMED, VIA EMAIL CORRESPONDENCE, THAT THERE WAS NO INJURY OR ADVERSE EVENT REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 97146 | MEDRAD VERIS MR VITAL SIGNS MONITOR | MONITOR, PHYSIOLOGICAL PATIENT | MHX | BAYER MEDICAL CARE, INC | 3011993 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |