BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PHILIPS

    MDR report key: 1661802 · Received March 2, 2010

    Report

    Report Number
    1661802
    Event Type
    Malfunction
    Date Received
    March 2, 2010
    Date of Event
    February 3, 2009
    Report Date
    March 2, 2010
    Manufacturer
    PHILIPS MEDICAL SYSTEMS
    Product Code
    MHX
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL, US

    Narratives

    Description of Event or Problem · 1

    DATA LOSS, IN PATIENT CHART. INFORMATION WAS DOCUMENTED AT 7AM, 8AM, 9AM, AND 10AM. AT 11AM NURSE NOTICED THERE WAS NO DOCUMENTATION ON THE I AND O (IN AND OUT) SHEET.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PHILIPS CENTRAL STATION, DOCUMENTATION SYSTEM MHX PHILIPS MEDICAL SYSTEMS * *

    Patients

    Seq Age Sex Outcome Treatment
    1 77 YR