BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PHILIPS MEDICAL

    MDR report key: 1362985 · Received April 13, 2009

    Report

    Report Number
    MW5010739
    Event Type
    Malfunction
    Date Received
    April 13, 2009
    Date of Event
    December 26, 2008
    Report Date
    March 26, 2009
    Manufacturer
    PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
    Product Code
    MHX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THE PINS WERE BENT ON THE CONNECTOR ON THE PHILIPS MMS MODULE. THE BENT PINS CAUSE THE MODULE TO BE INOPERABLE. THE FAILURE OF THESE PINS PRESENTS THE POTENTIAL FOR PATIENT SAFETY ISSUES, AS HEALTH CARE PROVIDERS NEED ACCESS TO IMMEDIATE MONITORING OF UNSTABLE PATIENTS THAT ARE BROUGHT TO CRITICAL CARE AREAS. THE BIOMEDICAL TECHNICIAN REPLACED THE NECESSARY COMPONENTS, TESTED THE DEVICE, AND RETURNED IT TO SERVICE. THE DEVICE IS AVAILABLE FOR ONSITE EVALUATION AT OUR FACILITY. QUESTIONS AND COMMENTS SHOULD BE DIRECTED TO THE BIOMEDICAL DIRECTOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PHILIPS MEDICAL MMS (MULTI MEASUREMENT SERVER) MODULE MHX PHILIPS ELECTRONICS NORTH AMERICA CORPORATION M3001A

    Patients

    Seq Age Sex Outcome Treatment
    1