FDA Adverse Event Malfunction Summary report: N

COMPACT MONITOR DISPLAY

MDR report key: 1942280 · Received December 22, 2010

Report

Report Number
9610816-2010-00839
Event Type
Malfunction
Date Received
December 22, 2010
Report Date
November 29, 2010
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
MHX
PMA / PMN Number
K001664
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4): THE CUSTOMER REPORTED THAT THE DEVICE WAS PROVIDING A FAULTY SPEAKER INOP MESSAGE. PHILIPS IS IN THE PROCESS OF OBTAINING ADD'L 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 THE DEVICE WAS PROVIDING A FAULTY SPEAKER INOP MESSAGE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 COMPACT MONITOR DISPLAY MHX, DRT MHX PHILIPS MEDICAL SYSTEMS M3046A

Patients

Seq Age Sex Outcome Treatment
1