FDA Adverse Event
Malfunction
Summary report: N
MEDRAD VERIS MR VITAL SIGNS MONITOR
MDR report key: 3957253
·
Received June 17, 2014
Report
- Report Number
- 2520313-2014-00035
- Event Type
- Malfunction
- Date Received
- June 17, 2014
- Date of Event
- May 22, 2014
- Report Date
- May 22, 2014
- Manufacturer
- BAYER MEDICAL CARE, INC.
- Product Code
- MWI
- PMA / PMN Number
- K042569
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- 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 HEALTHCARE DISTRIBUTED A FIELD SAFETY NOTICE RECALLED MAIN BOARDS WITH APRT NUMBER 301641 THAT WERE INSTALLED IN SOME MEDRAD VERIS MR VITAL SIGNS MONITORS. THESE MIN 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 AND I REPRESENTATIVE REPORTED THE FOLLOWING: THE VERIS MOTOR SHUT DOWN AFTER THE FIRST FEW SCANS. THERE WAS NO INJURY OR ADVERSE EVENT REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 354446 | MEDRAD VERIS MR VITAL SIGNS MONITOR | MONITOR, PHYSIOLOGICAL PATIENT | MWI | BAYER MEDICAL CARE, INC. | 3011993W |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |