FDA Adverse Event
Malfunction
Summary report: N
INTELLIVUE MULTI MEASURMENT SERVER X2
MDR report key: 1853772
·
Received October 1, 2010
Report
- Report Number
- 9610816-2010-00545
- Event Type
- Malfunction
- Date Received
- October 1, 2010
- Report Date
- September 10, 2010
- Manufacturer
- PHILIPS MEDICAL SYSTEMS
- Product Code
- MHX
- PMA / PMN Number
- K071426
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NL
- 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. PHILIPS HAS NOT DETERMINED WHETHER OR NOT THE SPEAKER IS STILL AUDIBLE. THE VISUAL INOP WOULD BE OBVIOUS TO USERS. IN ABUNDANT CAUTION, WE WILL REPORT THIS AS A MALFUNCTION. PHILIPS IS IN THE PROCESS OF OBTAINING ADDITIONAL INFORMATION REGARDING 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 THEY RECEIVED A VISIBLE "SPEAKER MALFUNCTION" INOP. NO PT WAS HARMED AS A RESULT OF THIS ISSUE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | INTELLIVUE MULTI MEASURMENT SERVER X2 | MHX | PHILIPS MEDICAL SYSTEMS | M3002A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |