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 |