FDA Adverse Event
Malfunction
Summary report: N
INTELLIVUE INFORMATION CENTER
MDR report key: 10443120
·
Received August 24, 2020
Report
- Report Number
- 1218950-2020-04891
- Event Type
- Malfunction
- Date Received
- August 24, 2020
- Report Date
- August 4, 2020
- Manufacturer
- PHILIPS MEDICAL SYSTEMS
- Product Code
- MHX
- PMA / PMN Number
- K081983
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AZ, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
Narratives
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE ALARMS WERE SILENCED AT THE CENTRAL STATION (PIC IX). A PHILIPS CUSTOMER CARE SERVICE CENTER (CCSC) REPRESENTATIVE SPOKE TO THE CUSTOMER AND CLARIFIED THAT THE SPEAKER FOR THE PIC IX WAS NOT EMITTING SOUND. THE DEVICE WAS REPORTED TO BE IN USE ON A PATIENT, BUT NO ADVERSE EVENT TO PATIENT OR USER WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 909315 | INTELLIVUE INFORMATION CENTER | CENTRAL STATION MONITOR | MHX | PHILIPS MEDICAL SYSTEMS | M3155 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |