FDA Adverse Event Malfunction Summary report: N

MP20 INTELLIVUE PATIENT MONITOR

MDR report key: 1874415 · Received October 12, 2010

Report

Report Number
9610816-2010-00594
Event Type
Malfunction
Date Received
October 12, 2010
Report Date
September 21, 2010
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
MHX
PMA / PMN Number
K030038
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THIS COMPLAINT IS DEEMED REPORTABLE SINCE PHILIPS DOES NOT HAVE ENOUGH DATA TO VERIFY THAT THERE WAS NO SOUND COMING FROM THE SPEAKER. IN AN ABUNDANCE OF CAUTION, WE WILL REPORT THIS INCIDENT ALTHOUGH IN THIS CASE, THE ALARMS WOULD STILL BE ANNUNCIATED AT THE CENTRAL STATION. PRODUCT LABELING STATES: WARNING - DO NOT RELY EXCLUSIVELY ON THE AUDIBLE ALARM SYSTEM FOR PT MONITORING. ADJUSTMENT OF ALARM VOLUME TO A LOW LEVEL OR OFF DURING PT MONITORING MAY RESULT IN PT DANGER. REMEMBER THAT THE MOST RELIABLE METHOD OF PT MONITORING COMBINES CLOSE PERSONAL SURVEILLANCE WITH CORRECT OPERATION OF MONITORING EQUIPMENT. 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 HIS MP20 HAS A SPEAKER MALFUNCTION ERROR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MP20 INTELLIVUE PATIENT MONITOR MHX PHILIPS MEDICAL SYSTEMS M8001A

Patients

Seq Age Sex Outcome Treatment
1