FDA Adverse Event Death Summary report: N

INTELLIVUE INFORMATION CENTER

MDR report key: 1841160 · Received September 15, 2010

Report

Report Number
1218950-2010-01582
Event Type
Death
Date Received
September 15, 2010
Report Date
September 9, 2010
Manufacturer
PHILIPS HEALTHCARE
Product Code
MHX
PMA / PMN Number
K081983
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4): THE CUSTOMER REPORTED THAT A RED ALARM DID NOT SOUND AT THE INFO CENTER OR AT THE BEDSIDE. BASED ON THE AVAILABLE INFO, A NURSE AND DOCTOR WERE IN FRONT OF THE CENTRAL STATION AND SAW A VISUAL RED DESAT ALARM AT 60% WITH NO SOUND AT THE SDN BEDSIDE. THE CUSTOMER INFORMED PHILIPS THAT THERE WAS NO ALARM AT THE INFO CENTER AND BEDSIDE. PHILIPS IS IN THE PROCESS OF OBTAINING ADDITIONAL INFO 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 RED ALARM DID NOT SOUND AT THE INFO CENTER OR AT THE BEDSIDE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INTELLIVUE INFORMATION CENTER MHX PHILIPS HEALTHCARE 862067 (M3150B)

Patients

Seq Age Sex Outcome Treatment
1