MULTIPARAMETER PHYSIOLOGIC MONITOR MODULE E-PRESTN-00

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-11-09 for MULTIPARAMETER PHYSIOLOGIC MONITOR MODULE E-PRESTN-00 manufactured by Ge Healthcare Products.

Event Text Entries

[91514691]
Patient Sequence No: 1, Text Type: N, H10


[91514692] The blood pressure clip on the e-prestin module breaks off. No problem with the other vital clips. When the blood pressure cable is plugged in, the connection is loose and eventually breaks.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number7013685
MDR Report Key7013685
Date Received2017-11-09
Date of Report2017-09-28
Date of Event2017-06-14
Report Date2017-09-28
Date Reported to FDA2017-09-28
Date Reported to Mfgr2017-09-28
Date Added to Maude2017-11-09
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMULTIPARAMETER PHYSIOLOGIC MONITOR MODULE
Generic NameVITAL MODULE
Product CodeBZK
Date Received2017-11-09
Model NumberE-PRESTN-00
OperatorNURSE
Device AvailabilityY
Device Age7 YR
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerGE HEALTHCARE PRODUCTS
Manufacturer AddressEILEEN FICK 3000 N GRANDVIEW BLVD. W-440 WAUKESHA WI 53188 US 53188


Patients

Patient NumberTreatmentOutcomeDate
10 2017-11-09

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