FDA Adverse Event
Malfunction
Summary report: N
BIS
MDR report key: 7068974
·
Received November 29, 2017
Report
- Report Number
- 2936999-2017-05641
- Event Type
- Malfunction
- Date Received
- November 29, 2017
- Report Date
- November 29, 2017
- Manufacturer
- ASPECT MEDICAL
- Product Code
- GWS
- PMA / PMN Number
- K072286
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
Narratives
Additional Manufacturer Narrative · 1
IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.
Description of Event or Problem · 1
ACCORDING TO THE REPORTER, THE UNIT SHOWED THAT PATIENT WAS AWAKE WHEN PATIENT WAS CLEARLY ASLEEP. THERE WAS NO PATIENT HARM REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 849004 | BIS | ANALYZER, SPECTRUM, ELECTROENCEPHALOGRAM SIGNAL | GWS | ASPECT MEDICAL | 186-1046 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |