FDA Adverse Event
Malfunction
Summary report: N
SURELIFE
MDR report key: 7679854
·
Received July 11, 2018
Report
- Report Number
- 3005798905-2018-00685
- Event Type
- Malfunction
- Date Received
- July 11, 2018
- Date of Event
- June 12, 2018
- Report Date
- July 11, 2018
- Manufacturer
- MHC MEDICAL PRODUCTS, LLC.
- Product Code
- DXN
- PMA / PMN Number
- K091415
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 0
MACHINE IS GIVING HIGH READINGS AND WANTED TO KNOW IF HE NEEDED TO CHANGE THE BATTERIES.
Description of Event or Problem · 1
MACHINE IS GIVING HIGH READINGS AND WANTED TO KNOW IF HE NEEDED TO CHANGE THE BATTERIES
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 522081 | SURELIFE | BLOOD PRESSURE MONITOR | DXN | MHC MEDICAL PRODUCTS, LLC. | 43895 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |