FDA Adverse Event Death Summary report: N

MP50 INTELLIVUE PATIENT MONITOR

MDR report key: 1981136 · Received February 1, 2011

Report

Report Number
9610816-2011-00064
Event Type
Death
Date Received
February 1, 2011
Report Date
January 31, 2011
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
MHX
PMA / PMN Number
K030038
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE CUSTOMER STATED THAT THEIR MP50 FAILED TO PROVIDE ANY AUDIO ALARM WHEN A PT DEATH OCCURRED WHILE BEING MONITORED. BASED ON THE INITIAL INFO RECEIVED FROM THE CUSTOMER, THE STAFF STATES THAT THEY WERE MONITORING BY SP02 PROBE AND NO OTHER MEANS. NOTE THAT, IF THE SENSOR WAS REMOVED FROM THE PT, ONLY BLUE INOPS AND NO ALARMS ARE TO BE PRODUCED PER DESIGN AND INTENT. PHILIPS IS IN THE PROCESS OF OBTAINING ADD'L INFO REGARDING 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 THEIR MP50 FAILED TO PROVIDE ANY AUDIO ALARM.

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 Death