FDA Adverse Event
Malfunction
Summary report: N
9500 RESPIRATION/HEART RATE MONITOR
MDR report key: 41137
·
Received September 9, 1996
Report
- Report Number
- 2183157-1996-00018
- Event Type
- Malfunction
- Date Received
- September 9, 1996
- Date of Event
- August 4, 1996
- Report Date
- August 9, 1996
- Manufacturer
- AEQUITRON MEDICAL, INC.
- Product Code
- FLS
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
REPORT OF ALLEGED "NO AUDIBLE ALARM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 9500 RESPIRATION/HEART RATE MONITOR | BREATHING FREQUENCY MONITOR | FLS | AEQUITRON MEDICAL, INC. | 9500 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * | Other |