BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PHILIPS NMT ACCELEROMETER TWITCH MONITOR

    MDR report key: 11965530 · Received June 8, 2021

    Report

    Report Number
    MW5101761
    Event Type
    Malfunction
    Date Received
    June 8, 2021
    Date of Event
    May 7, 2021
    Report Date
    April 6, 2021
    Manufacturer
    PHILIPS MEDIZIN SYSTEME BOEBLINGEN GMBH
    Product Code
    KOI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    BURN FROM NMT CABLE. FDA SAFETY REPORT ID# (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    859481 PHILIPS NMT ACCELEROMETER TWITCH MONITOR STIMULATOR, NERVE, PERIPHERAL, ELECTRIC KOI PHILIPS MEDIZIN SYSTEME BOEBLINGEN GMBH 989803174581

    Patients

    Seq Age Sex Outcome Treatment
    1 Other