FDA Adverse Event Malfunction Summary report: N

INVIVO CORPORATION

MDR report key: 8392852 · Received March 5, 2019

Report

Report Number
1051786-2019-00012
Event Type
Malfunction
Date Received
March 5, 2019
Report Date
February 28, 2019
Manufacturer
INVIVO CORPORATION
Product Code
DQA
UDI-DI
00884838012585
PMA / PMN Number
K103700
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT NO ALARM SOUND WAS COMING FROM THE DEVICE. THE DEVICE WAS NOT IN USE ON A PATIENT. THERE WAS NO REPORTED PATIENT IMPACT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
186471 INVIVO CORPORATION PATIENT MONITOR DQA INVIVO CORPORATION 865353 00884838012585

Patients

Seq Age Sex Outcome Treatment
1