FDA Adverse Event
Malfunction
Summary report: N
MONSOON+
MDR report key: 8903785
·
Received August 16, 2019
Report
- Report Number
- 8031033-2019-00003
- Event Type
- Malfunction
- Date Received
- August 16, 2019
- Date of Event
- May 15, 2019
- Report Date
- May 15, 2019
- Manufacturer
- ACUTRONIC MEDICAL SYSTEMS AG
- Product Code
- CBK
- UDI-DI
- 07640140861616
- PMA / PMN Number
- K012691
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SZ
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 1
(B)(4). ANY ADDITIONAL INFORMATION RECEIVED FROM THE CUSTOMER WILL BE INCLUDED IN A FOLLOW-UP REPORT. THE ACUTRONICS SUPPORT TEAM INFORMED THE CUSTOMER THAT THE MMI (MAN MACHINE INTERFACE) WILL BE REPLACED. THE CUSTOMER IS ADVISED TO UPDATE SOFTWARE TO V2.071 SINCE THE NEW COMPONENT HAS A NEW HARDWARE AND SOFTWARE VERSION.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE DEVICE EXPERIENCED DISPLAY ISSUES. AT THIS TIME, THERE WAS NO INFORMATION PROVIDED REGARDING PATIENT INVOLVEMENT IN THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 696069 | MONSOON+ | VENTILATOR, CONTINUOUS, FACILITY USE | CBK | ACUTRONIC MEDICAL SYSTEMS AG | 7700.US | 07640140861616 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |