FDA Adverse Event Malfunction Summary report: N

INTELLIVUE MULTI MEASUREMENT SERVER X2

MDR report key: 1850039 · Received September 28, 2010

Report

Report Number
9610816-2010-00528
Event Type
Malfunction
Date Received
September 28, 2010
Report Date
August 11, 2010
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
MHX
PMA / PMN Number
K071426
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BE
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE CUSTOMER REPORTED THAT ALARMS WERE NOT BEING DISPLAYED AS EXPECTED. NO PT HARM WAS REPORTED. THE INITIAL INFO SUPPORTS THAT THE HOSPITAL WANTED ASSISTANCE WITH ALARM OVERVIEW CONFIGURATION AND THAT THERE WAS NO DEVICE MALFUNCTION OR DESIGN PROBLEM. 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 ALARMS WERE NOT BEING DISPLAYED AS EXPECTED. NO PT HARM WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INTELLIVUE MULTI MEASUREMENT SERVER X2 MHX PHILIPS MEDICAL SYSTEMS M3002A

Patients

Seq Age Sex Outcome Treatment
1