FDA Adverse Event Malfunction Summary report: N

NA

MDR report key: 1873512 · Received October 14, 2010

Report

Report Number
9610816-2010-00553
Event Type
Malfunction
Date Received
October 14, 2010
Report Date
September 16, 2010
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
MHX
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4): THE CUSTOMER REPORTED THAT AN MP50 MONITOR BEGAN TO EMIT FUMES AND FLAMES DURING A TRAINING EXERCISE. THE FLAMES WERE OBSERVED ONLY AFTER THE BATTERY HAD BEEN REMOVED FROM THE MONITOR. NO PT WAS INVOLVED. 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 AN MP50 MONITOR BEGAN TO EMIT FUMES AND FLAMES DURING A TRAINING EXERCISE. NO PT WAS INVOLVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NA NA MHX PHILIPS MEDICAL SYSTEMS M4605A

Patients

Seq Age Sex Outcome Treatment
1