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 |