FDA Adverse Event
Malfunction
Summary report: N
FETAL MONITOR
MDR report key: 17541823
·
Received August 11, 2023
Report
- Report Number
- MW5144527
- Event Type
- Malfunction
- Date Received
- August 11, 2023
- Report Date
- August 10, 2023
- Manufacturer
- PHILIPS MEDIZIN SYSTEME BOEBLINGEN GMBH
- Product Code
- HGM
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- OTHER
- Health Professional
- *
Narratives
Description of Event or Problem · 0
IT WAS FOUND THAT THE FETAL HEART RATE MONITOR COULD NOT SCAN THE PATIENT'S UTERINE CONTRACTIONS, AND THE EQUIPMENT WAS SHUT DOWN FOR INSPECTION IMMEDIATELY AFTER THE FAILURE OCCURRED. THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1707309 | FETAL MONITOR | FETAL MONITOR | HGM | PHILIPS MEDIZIN SYSTEME BOEBLINGEN GMBH | FM20/M2702A | DE55941879 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |