BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SURELIFE ARM BP MONITOR-PREMIUM

    MDR report key: 7632196 · Received June 22, 2018

    Report

    Report Number
    3005798905-2018-02123
    Event Type
    Malfunction
    Date Received
    June 22, 2018
    Date of Event
    September 28, 2017
    Report Date
    June 22, 2018
    Manufacturer
    MHC MEDICAL PRODUCTS, LLC
    Product Code
    DXN
    PMA / PMN Number
    K091434
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    DEVICE READING "ER P" ON TWO SEPARATE CUFFS. CHECKED FOR CORRECT INSERTION. SENT NEW MONITOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    472751 SURELIFE ARM BP MONITOR-PREMIUM SYSTEM, MEASUREMENT, BLOOD PRESSURE, NON-INVASIVE DXN MHC MEDICAL PRODUCTS, LLC

    Patients

    Seq Age Sex Outcome Treatment
    1