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