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 |