FDA Adverse Event
Malfunction
Summary report: N
INTELLISPACE PERINATAL ADV SYS, INTEG ED
MDR report key: 12195154
·
Received July 20, 2021
Report
- Report Number
- 9610816-2021-10235
- Event Type
- Malfunction
- Date Received
- July 20, 2021
- Date of Event
- July 8, 2021
- Manufacturer
- PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH
- Product Code
- HGM
- PMA / PMN Number
- K100420
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NL
- Reporter Occupation
- BIOMEDICAL ENGINEER
Narratives
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE ALARM SYSTEM DOES NOT WORK WELL. THE DEVICE WAS IN USED FOR PATIENT MONITORING AT THE TIME OF THE ALLEGED MALFUNCTION. NO ADVERSE EVENT INVOLVING A PATIENT OR USER WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1095504 | INTELLISPACE PERINATAL ADV SYS, INTEG ED | INTELLISPACE PERINATAL ADV SYS, INTEG ED | HGM | PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH | 866132 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |