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