FDA Adverse Event Malfunction Summary report: N

MP30 INTELLIVUE PATIENT MONITOR

MDR report key: 1813388 · Received August 20, 2010

Report

Report Number
9610816-2010-00287
Event Type
Malfunction
Date Received
August 20, 2010
Report Date
July 23, 2010
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
MHX
PMA / PMN Number
K030038
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NV, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4): THE CUSTOMER REPORTED THAT THE DEVICE FAILED TO ALARM DURING A DESAT EVENT. PHILIPS IS IN THE PROCESS OF OBTAINING ADDITIONAL INFO CONCERNING THIS EVENT 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 THE DEVICE FAILED TO ALARM DURING A DESAT EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MP30 INTELLIVUE PATIENT MONITOR MHX PHILIPS MEDICAL SYSTEMS M8002A

Patients

Seq Age Sex Outcome Treatment
1