FDA Adverse Event
Injury
Summary report: N
TEMPUS PRO
MDR report key: 16765382
·
Received April 18, 2023
Report
- Report Number
- 3003832357-2023-00226
- Event Type
- Injury
- Date Received
- April 18, 2023
- Date of Event
- April 6, 2023
- Manufacturer
- REMOTE DIAGNOSTIC TECHNOLOGIES LTD.
- Product Code
- MHX
- UDI-DI
- 05060472441027
- PMA / PMN Number
- K201746
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UT, US
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
Additional Manufacturer Narrative · 0
PREVIOUSLY REPORTED ON PR 3278248 WITH MDR# 3003832357-2023-00273. INVESTIGATION IS PENDING. ONCE INVESTIGATION IS COMPLETED, RESULTS WILL BE HOUSED WITHING (B)(4) WITH MDR# 3003832357-2023-00273.
Description of Event or Problem · 0
IT WAS REPORTED TO PHILIPS THAT TEMPUS PRO EXPERIENCED AN ISSUE WHEN IN USE ON A PATIENT. ALTHOUGH NO DIRECT ADVERSE EVENT TO THE PATIENT OR USER WAS REPORTED, WE ARE CONSIDERING THIS TO BE A SERIOUS INJURY DUE TO A SERIOUS DETERIORATION IN THE STATE OF HEALTH OF THE PATIENT BECAUSE LIVE-SAVING THERAPY/TREATMENT MAY HAVE BEEN INTERRUPTED/DELAYED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 624513 | TEMPUS PRO | MONITOR, PHYSIOLOGICAL, PATIENT(WITH ARRHYTHMIA DETECTION OR ALARMS) | MHX | REMOTE DIAGNOSTIC TECHNOLOGIES LTD. | 00-1024-R | 05060472441027 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | Life Threatening |