FDA Adverse Event Malfunction Summary report: N

MEDRAD VERIS MR VITAL SIGNS MONITOR

MDR report key: 3909363 · Received February 24, 2014

Report

Report Number
2520313-2014-00011
Event Type
Malfunction
Date Received
February 24, 2014
Date of Event
February 17, 2014
Report Date
February 18, 2014
Manufacturer
BAYER MEDICAL CARE, INC.
Product Code
MHX
Removal / Correction Number
Z-0810-2014
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

BAYER R & I SERVICE REPLACED THE SYSTEM MAIN BOARD AT THE SITE AND CONFIRMED SYSTEM FUNCTIONALITY. ON 11/21/2013, BAYER HEALTHCARE DISTRIBUTED A FIELD SAFETY NOTICE RECALLING MAIN BOARDS WITH PART NUMBER 301641 THAT WERE INSTALLED IN SAME MEDRAD VERIS MR VITAL SIGNS MONITORS. THESE MAIN BOARDS ARE BEING RECALLED DUE TO THE POTENTIAL OF UNEXPECTED SHUTDOWN OF THE SYSTEM WHILE IN USE.

Description of Event or Problem · 1

THE SITE REPORTED THE FOLLOWING: THE VERIS MONITOR HAD SHUT DOWN DURING PT USE AFTER 10 MINUTES OF BEING POWERED ON. THE CUSTOMER CONFIRMED THAT THERE WAS NO INJURY OR ADVERSE EVENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
114371 MEDRAD VERIS MR VITAL SIGNS MONITOR MONITOR, PHYSIOLOGICAL PATIENT MHX BAYER MEDICAL CARE, INC. 3014268W

Patients

Seq Age Sex Outcome Treatment
1