FDA Adverse Event
Death
Summary report: N
PHILIPS MULTIPARAMETER PATIENT MONITOR
MDR report key: 1802745
·
Received August 11, 2010
Report
- Report Number
- 1218950-2010-01287
- Event Type
- Death
- Date Received
- August 11, 2010
- Report Date
- August 6, 2010
- Manufacturer
- PHILIPS HEALTHCARE
- Product Code
- MHX
- PMA / PMN Number
- K052707
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
(B)(4): THE CUSTOMER REPORTED THAT THE PT HAD ALREADY EXPIRED PRIOR TO BEING CONNECTED TO THE MONITOR, AND THAT THE MONITOR WAS NOT CONSIDERED TO BE A CONTRIBUTING FACTOR IN THE PT'S DEATH. THIS IS BEING REPORTED ONLY BECAUSE A PHILIPS DEVICE WAS IN USE ON A PT WHO DIED. PHILIPS IS IN THE PROCESS OF OBTAINING ADDITIONAL INFORMATION REGARDING THIS INCIDENT AND THE COMPLAINT IS STILL UNDER INVESTIGATION. A FINAL REPORT WILL BE SUBMITTED ONCE THE INVESTIGATION IS COMPLETED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT A PT HAD EXPIRED BEFORE BEING CONNECTED TO A PHILIPS MONITOR. THE MONITOR STILL GAVE SOME VALUES FOR HR AND NIBP.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PHILIPS MULTIPARAMETER PATIENT MONITOR | MHX | PHILIPS HEALTHCARE | 863074 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |