FDA Adverse Event Malfunction Summary report: N

MP70 INTELLIVUE PATIENT MONITOR

MDR report key: 1830037 · Received September 7, 2010

Report

Report Number
9610816-2010-00446
Event Type
Malfunction
Date Received
September 7, 2010
Report Date
August 9, 2010
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
DSI
PMA / PMN Number
K021300
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE CUSTOMER REPORTED THAT THEY RECEIVED A VISIBLE "SPEAKER MALFUNCTION" INOP. NO PT WAS HARMED AS A RESULT OF THIS ISSUE. IN ABUNDANT CAUTION, WE WILL REPORT THIS AS A MALFUNCTION EVEN THOUGH NO LOSS OF AUDIO WAS REPORTED. 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 A LOSS OF AUDIO. NO PT HARM WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MP70 INTELLIVUE PATIENT MONITOR DSI PHILIPS MEDICAL SYSTEMS M8007A

Patients

Seq Age Sex Outcome Treatment
1