FDA Adverse Event
Malfunction
Summary report: N
SURELIFE
MDR report key: 8031593
·
Received November 1, 2018
Report
- Report Number
- 3005798905-2018-02725
- Event Type
- Malfunction
- Date Received
- November 1, 2018
- Date of Event
- October 4, 2018
- Report Date
- November 1, 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 · 1
HAVING READING PROBLEMS WITH HER WRIST BLOOD PRESSURE MONITOR. READ 199/94 BEFORE SHE WENT TO THE HOSPITAL, BUT SHE WAS READING 123/80 IN THE HOSPITAL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 867951 | SURELIFE | WRIST BLOOD PRESSURE MONITOR | DXN | MHC MEDICAL PRODUCTS, LLC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |