| Brand Name | INFINITY ACUTE CARE SYSTEM (M540) |
| Common Device Name | PHYSIOLOGIC MONITORING SYSTEM, SINGLE-PATIENT |
| Manufacturer (Section D) |
| DRAEGER MEDICAL SYSTEMS, INC |
| 3135 quarry road |
| telford PA |
|
| Manufacturer (Section G) |
| DRAEGER MEDICAL SYSTEMS, INC |
| 3135 quarry road |
|
| telford PA 18969 |
|
| Manufacturer Contact |
|
|
| 3135 quarry road |
| telford, PA 18969
|
|
9784097390
|
|
| MDR Report Key | 24861587 |
| Report Number | 1220063-2026-00014 |
| Device Sequence Number | 9036852 |
| Product Code |
MHX
|
| UDI-Device Identifier | 04049098054454 |
| UDI-Public | (01)04049098054454(11)230728(17)240430(93)MS20401-32 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | GM |
| PMA/510(K) Number | K113798 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Health Professional,User Facility |
| Initial Reporter Occupation |
Other
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
05/21/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Model Number | MS20401 |
| Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
| Is the Reporter a Health Professional? |
No
|
| Event Location |
Hospital
|
| Type of Report(Section G) | Follow-Up |
| Initial Date Received by Manufacturer | 03/26/2026 |
| Supplement Date Received by Manufacturer | 05/21/2026
|
| Initial Report FDA Received Date | 04/13/2026 |
| Supplement Report FDA Received Date | 05/21/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 10/25/2023 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Reuse
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |