FDA Adverse Event Malfunction Summary report: N

DATASCOPE

MDR report key: 4080818 · Received September 4, 2014

Report

Report Number
MW5038125
Event Type
Malfunction
Date Received
September 4, 2014
Date of Event
August 22, 2014
Report Date
September 4, 2014
Manufacturer
MINDRAY
Product Code
MHX
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
OH, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

TELEMETRY MONITOR MALFUNCTION AND MONITOR TECH UNABLE TO VIEW PATIENT RHYTHM FOR LTAC PATIENTS AT 15:45. MALFUNCTION INVOLVED A TOTAL OF 6 PATIENTS WHERE PATIENT TELEMETRY WAS NOT VIEWABLE BY TECH. MINDRAY REPRESENTATIVE TROUBLESHOOTING AND UNABLE TO IDENTIFY PROBLEM. ON (B)(6) 2014, CEO REQUESTING ON-SITE VISIT FOR TELEMETRY EVALUATION AND REPAIR. MINDRAY ON SITE NAD TELEMETRY REPAIRED AT 1830. PATIENTS REMAIN SAFE AND FREE FROM HARM DURING THE TIME PERIOD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
539517 DATASCOPE TELEMETRY SERVER MHX MINDRAY 099800870001

Patients

Seq Age Sex Outcome Treatment
1 65 YR