FDA Adverse Event
Malfunction
Summary report: N
970SE-10 HOSPITAL MONITOR
MDR report key: 523852
·
Received February 13, 2004
Report
- Report Number
- 2518422-2004-00008
- Event Type
- Malfunction
- Date Received
- February 13, 2004
- Date of Event
- January 15, 2004
- Report Date
- January 15, 2004
- Manufacturer
- RESPIRONICS, INC.
- Product Code
- BZQ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SC, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THE UNIT WAS RETURNED FOR NON-FUNCTIONAL AUDIBLE ALARMS. THERE WAS NO PT INVOLVEMENT OR REPORTED PT HARM. A REPAIR EVALUATION CONFIRMED THAT THE AUDIBLE ALARMS ARE NOT FUNCTIONING. THE UNIT HAS BEEN FORWARDED TO ENGINEERING FOR ROOT CAUSE ANALYSIS OF THE ALARM FAILURE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 970SE-10 HOSPITAL MONITOR | INFANT/APNEA MONITOR | BZQ | RESPIRONICS, INC. | 970SE-10 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |