MAC 1200

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2010-11-17 for MAC 1200 manufactured by Wipro Ge Healthcare Private Ltd.

Event Text Entries

[15211311] A site initially reported to ge healthcare on (b)(6) 2008 that a nurse felt a tingling sensation on her fingertips from typing in pt info while performing an ekg (electrocardiograph) on a pt. The nurse's finger tips reportedly turned white on the surface, however no serious injury was reported at this time. On (b)(6) 2010, the site informed ge that the nurse involved in the reported event had sustained second degree burns on the wrist and hand. The nurse was evaluated by a physician and was treated with bacitracin and bandages. The nurse was reportedly able to return to work the same day of the event.
Patient Sequence No: 1, Text Type: D, B5


[15730138] The mfg site received the unit for investigation. The keypad was viewed under a 40x microscope to observe any puncture in the keypad. No abnormality was observed. The unit also underwent safety tests confirming that the unit's leakage current was within specification. The unit was then tested while switched off and while switched on, both on mains and battery power. No failures were observed. The reported issue could not be replicated. Based on the results of the investigation, and due to the construction of the keypad, low voltage and minimal current of the device, it is unlikely that the unit's keypad contributed to the pt burn. The root cause of the reported event could not be determined. As a preventive measure, the unit was replaced at the customer site.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number9617277-2010-00004
MDR Report Key1908033
Report Source06
Date Received2010-11-17
Date of Report2010-11-17
Date of Event2008-12-03
Date Mfgr Received2010-10-21
Device Manufacturer Date2008-07-01
Date Added to Maude2010-12-01
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactGWEN BRAEGER
Manufacturer Street3000 N GRANDVIEW BLVD MAIL CODE - W450
Manufacturer CityWAUKESHA WI 53188
Manufacturer CountryUS
Manufacturer Postal53188
Manufacturer Phone2625482608
Manufacturer G1WIPRO GE HEALTHCARE PRIVATE LTD
Manufacturer CityBANGALORE
Manufacturer CountryIN
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMAC 1200
Generic NameELECTROCARDIOGRAPH
Product CodeLOS
Date Received2010-11-17
Returned To Mfg2009-02-19
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerWIPRO GE HEALTHCARE PRIVATE LTD
Manufacturer AddressBANGALORE IN


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2010-11-17

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