FDA Adverse Event Malfunction Summary report: N

MP70 INTELLIVUE PATIENT MONITOR

MDR report key: 1890765 · Received November 1, 2010

Report

Report Number
9610816-2010-00568
Event Type
Malfunction
Date Received
November 1, 2010
Report Date
September 30, 2010
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
DSI
PMA / PMN Number
K021300
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER REPORTED THAT THERE WAS A FAILURE TO ALARM. NO PATIENT HARM WAS REPORTED. THE CUSTOMER REPORTED THAT THE ALARM DID NOT SOUND WHEN THE SPO2 LEVEL WENT BELOW THE ALARM LIMITS, BUT THEY DID NOT REPORT HOW LONG THE CONDITION LASTED OR WHAT WAS THE ALARM DELAY SETTING OR ALARM AVERAGING SETTING. THE AVAILABLE INFORMATION IS THEREFORE NOT SUFFICIENT TO DETERMINE WHETHER THERE WAS ANY MALFUNCTION. PHILIPS IS IN THE PROCESS OF OBTAINING ADDITIONAL INFORMATION 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 THERE WAS A FAILURE TO ALARM. NO PATIENT HARM WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MP70 INTELLIVUE PATIENT MONITOR DSI PHILIPS MEDICAL SYSTEMS M8007A

Patients

Seq Age Sex Outcome Treatment
1