FDA Adverse Event Malfunction Summary report: N

MP50 INTELLIVUE PATIENT MONITOR

MDR report key: 1973020 · Received January 21, 2011

Report

Report Number
9610816-2011-00036
Event Type
Malfunction
Date Received
January 21, 2011
Report Date
December 28, 2010
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
MHX
PMA / PMN Number
K030038
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4): THE CUSTOMER REPORTED THAT ALARMS CANNOT BE HEARD FROM ONE ROOM TO ANOTHER. NO PATIENT HARM WAS REPORTED. THE LIMITED INFORMATION DOES NOT INDICATE THAT THERE WAS ANY MALFUNCTION OF THE DEVICE. 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 ALARMS CANNOT BE HEARD FROM ONE ROOM TO ANOTHER. NO PATIENT HARM WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MP50 INTELLIVUE PATIENT MONITOR MHX PHILIPS MEDICAL SYSTEMS M8004A

Patients

Seq Age Sex Outcome Treatment
1