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 |