BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NONE

    MDR report key: 1882436 · Received October 20, 2010

    Report

    Report Number
    1218950-2010-01984
    Event Type
    Malfunction
    Date Received
    October 20, 2010
    Report Date
    September 23, 2010
    Manufacturer
    PHILIPS HEALTHCARE
    Product Code
    MKJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4), THE CUSTOMER REPORTED THAT THIS UNIT HAD INTERMITTENT POWER CONNECTION ISSUES. THIS COMPLAINT IS STILL BEING INVESTIGATED. A F/U REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THIS UNIT HAD INTERMITTENT POWER CONNECTION ISSUES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NONE MKJ PHILIPS HEALTHCARE M5528A

    Patients

    Seq Age Sex Outcome Treatment
    1