FDA Adverse Event
Malfunction
Summary report: N
WELCH ALLYN, INC.
MDR report key: 6307027
·
Received February 7, 2017
Report
- Report Number
- 6307027
- Event Type
- Malfunction
- Date Received
- February 7, 2017
- Date of Event
- March 2, 2016
- Report Date
- December 28, 2016
- Manufacturer
- WELCH ALLYN, INC.
- Product Code
- MWI
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- OH, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
PROPAQ MONITOR SHUT OFF AFTER PLACING IT ON PATIENT. ERROR MESSAGE 2-008-0000 UNABLE TO MONITOR PATIENT UNTIL LOADED INTO AIRCRAFT AND PLACED ON DIFFERENT MONITOR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 89837 | WELCH ALLYN, INC. | MONITOR,PHYSIOLOGICAL,PATIENT(WITHOUT ARRHYTHMIA DETECTION OR ALARMS) | MWI | WELCH ALLYN, INC. | 901061 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 31 YR |