FDA Adverse Event
Malfunction
Summary report: N
SURE LIFE
MDR report key: 7661022
·
Received July 3, 2018
Report
- Report Number
- 3005798905-2018-00647
- Event Type
- Malfunction
- Date Received
- July 3, 2018
- Date of Event
- June 4, 2018
- Report Date
- July 3, 2018
- Manufacturer
- MHC MEDICAL PRODCUTS, LLC.
- Product Code
- DXN
- PMA / PMN Number
- K091434
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
ERROR CODE P. JUST STARTED DISPLAYING ERROR P ON (B)(6) 2018.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 501623 | SURE LIFE | BLOOD PRESSURE MONITOR | DXN | MHC MEDICAL PRODCUTS, LLC. | 1604 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |