BEUDAMED
    FDA Adverse Event Death Summary report: N

    PIC IX HARDWARE

    MDR report key: 12001477 · Received June 15, 2021

    Report

    Report Number
    1218950-2021-10648
    Event Type
    Death
    Date Received
    June 15, 2021
    Date of Event
    May 24, 2021
    Manufacturer
    PHILIPS NORTH AMERICA LLC
    Product Code
    MHX
    PMA / PMN Number
    K102495
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 0

    THE CUSTOMER REPORTED THEIR CAREEVENT PHONE DID NOT GIVE AN AUDIBLE TONE FOR A PATIENT EVENT THAT OCCURRED ON (B)(6) 2021 AT 15:50 PM.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THEIR CAREEVENT PHONE DID NOT GIVE AN AUDIBLE TONE FOR A PATIENT EVENT THAT OCCURRED ON (B)(6) 2021 AT 15:50 PM. THE PATIENT EXPIRED. THE PATIENT DEATH WAS REPORTED IN A SEPARATE RECORD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    896121 PIC IX HARDWARE PIC IX HARDWARE MHX PHILIPS NORTH AMERICA LLC 866424

    Patients

    Seq Age Sex Outcome Treatment
    1 Other