FDA Adverse Event Malfunction Summary report: N

PAGEWRITER TOUCH CARDIOGRAPH

MDR report key: 1484531 · Received July 30, 2009

Report

Report Number
1218950-2009-00929
Event Type
Malfunction
Date Received
July 30, 2009
Report Date
June 30, 2009
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
DPS
PMA / PMN Number
K020708
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SN
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER REPORTED A DISCREPANCY BETWEEN THE TC70 AND OTHER CARDIOGRAPHS RELATED TO THE QTC MEASUREMENT. THE FACTORY HAS NOT YET RECEIVED THE DEVICE FOR EVALUATION, AND THE COMPLAINT IS STILL BEING INVESTIGATED. A FOLLOW-UP REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION.

Description of Event or Problem · 1

THE CUSTOMER REPORTED A DISCREPANCY BETWEEN THE TC70 AND OTHER CARDIOGRAPHS RELATED TO THE QTC MEASUREMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PAGEWRITER TOUCH CARDIOGRAPH DPS PHILIPS MEDICAL SYSTEMS 860315

Patients

Seq Age Sex Outcome Treatment
1