FDA Adverse Event Malfunction Summary report: N

CAMINO ADVANCED MONITOR WITH ICP WAVEFORM, ICT

MDR report key: 3960594 · Received June 20, 2014

Report

Report Number
8010219-2014-00026
Event Type
Malfunction
Date Received
June 20, 2014
Report Date
May 28, 2014
Manufacturer
INTEGRA NEUROSCIENCES, LTD
Product Code
GWM
PMA / PMN Number
K962928
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

TO DATE, THE DEVICE INVOLVED IN THE REPORTED INCIDENT HAS NOT BEEN RECEIVED FOR EVALUATION. AN INVESTIGATION HAS BEEN INITIATED BASED UPON THE REPORTED INFORMATION.

Description of Event or Problem · 1

IT WAS REPORTED THAT ON AN UNK DATE, THE MONITOR HAD A "FUZZY" SCREEN. SEVERAL ATTEMPTS WERE MADE TO OBTAIN ADDITIONAL INFORMATION BUT TO DATE, NO NEW INFORMATION HAS BEEN PROVIDED BY THE CUSTOMER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
363420 CAMINO ADVANCED MONITOR WITH ICP WAVEFORM, ICT NA GWM INTEGRA NEUROSCIENCES, LTD

Patients

Seq Age Sex Outcome Treatment
1