FDA Adverse Event Malfunction Summary report: N

MP40 INTELLIVUE PATIENT MONITOR

MDR report key: 1931950 · Received December 13, 2010

Report

Report Number
9610816-2010-00807
Event Type
Malfunction
Date Received
December 13, 2010
Report Date
November 15, 2010
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
MHX
PMA / PMN Number
K030038
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4): THE CUSTOMER REPORTED A PROBLEM OF "ALARM ON THE SCOPE". NO PATIENT HARM WAS REPORTED. THE LIMITED AVAILABLE INFORMATION IS NOT SUFFICIENT TO SUPPORT OR RULE OUT THAT THERE WAS A PROBLEM WITH THE ALARM FUNCTION FOR THIS MONITOR. 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 A PROBLEM OF "ALARM ON THE SCOPE". NO PATIENT HARM WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MP40 INTELLIVUE PATIENT MONITOR MHX PHILIPS MEDICAL SYSTEMS M8003A

Patients

Seq Age Sex Outcome Treatment
1