FDA Adverse Event Malfunction Summary report: N

INTELLISPACE PERINATAL ADV SYS, INTEG ED

MDR report key: 17260644 · Received July 5, 2023

Report

Report Number
9610816-2023-00322
Event Type
Malfunction
Date Received
July 5, 2023
Date of Event
June 12, 2023
Manufacturer
PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH
Product Code
HGM
PMA / PMN Number
K100420
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PO
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A FOLLOW UP REPORT WILL BE SUBMITTED ONCE THE INVESTIGATION IS COMPLETE.

Additional Manufacturer Narrative · 0

A PHILIPS FIELD SERVICE ENGINEER (FSE) WENT ONSITE TO EVALUATE THE DEVICE AND CONFIRMED THE SYSTEM GOT AN ALARM MESSAGE ¿NO ALARMING FOR THE BED X ¿. THE FSE ROOT CAUSE OF THE ISSUE IS THE DAC SERVER. THE ISSUE WAS RESOLVED WITH A REBOOT, BUT IT APPEARS THE ISSUE COMES BACK INTERMITTENTLY ON A RANDOM BED. THE FSE CONFIRMED THE ISSUE WAS RESOLVED WITH A SYSTEM REBOOT AND THE UNIT IS NOW WORKING AS INTENDED. THE FSE WILL BE MONITORING THE ISSUE REMOTELY. IF FURTHER INFORMATION IS OBTAINED THIS COMPLAINT WILL BE REOPENED.

Description of Event or Problem · 0

THE CUSTOMER REPORTED IT DOES NOT ALARM IN DECELERATING EVENTS. IT IS UNKNOWN IF THE DEVICE WAS IN USE AT TIME OF EVENT, AND THERE WAS NO ADVERSE EVENT REPORTED.

Description of Event or Problem · 0

THE CUSTOMER REPORTED IT DOES NOT ALARM IN DECELERATING EVENTS. THE DEVICE WAS IN USE MONITORING A PATIENT AT THE TIME OF THE EVENT. NO ADVERSE EVENT INVOLVING A PATIENT OR USER WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
418001 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 Unknown