FDA Adverse Event Malfunction Summary report: N

PATIENT INFORMATION CENTER IX

MDR report key: 18320784 · Received December 13, 2023

Report

Report Number
1218950-2023-00930
Event Type
Malfunction
Date Received
December 13, 2023
Date of Event
November 30, 2023
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
MHX
UDI-DI
00884838093041
PMA / PMN Number
K183387
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A PHILIPS REMOTE SERVICE ENGINEER (RSE) SPOKE TO THE CUSTOMER BIOMEDICAL ENGINEER (BIOMED), WHO CARRIED OUT TESTS WHICH SHOWED THE PROPER FUNCTIONING OF THE ALARMS. FURTHER INFORMATION WAS REQUESTED REGARDING THE TYPE OF ALARM, HOWEVER, NO FURTHER INFORMATION WAS PROVIDED. PER THE RSE, THE BIOMED REFUSED TO PROVIDE PIC IX LOGS. THE BIOMED DID INDICATE THAT THE PIC IX IS OPERATIONAL, AND THAT PREVENTIVE MAINTENANCE WAS PLANNED FOR THE BEGINNING OF DECEMBER. NO FAILURE WAS IDENTIFIED, HOWEVER, PHILIPS COULD NOT RULE OUT AN ISSUE AT THE TIME OF THE REPORTED EVENT. THE INVESTIGATION CONCLUDES THAT NO FURTHER ACTION IS REQUIRED AT THIS TIME. IF ADDITIONAL INFORMATION IS RECEIVED THE COMPLAINT FILE WILL BE REOPENED. REPORTING ADDRESS STATE: (B)(6).

Description of Event or Problem · 0

PHILIPS RECEIVED A COMPLAINT ON A PHILIPS PATIENT INFORMATION CENTER IX (PIC IX) INDICATING THAT THERE WAS AN ALARM REPORTING PROBLEM; THE TYPE OF ALARM PROBLEM WAS NOT SPECIFIED. IT WAS UNKNOWN IF THE DEVICE WAS IN CLINICAL USE AT THE TIME THE ISSUE WAS DISCOVERED. THERE WAS NO ADVERSE EVENT OR PATIENT HARM REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1768877 PATIENT INFORMATION CENTER IX PATIENT INFORMATION CENTER IX MHX PHILIPS MEDICAL SYSTEMS 866389 00884838093041

Patients

Seq Age Sex Outcome Treatment
1 Unknown