FDA Adverse Event
Malfunction
Summary report: N
MP30 INTELLIVUE PATIENT MONITOR
MDR report key: 1983727
·
Received February 4, 2011
Report
- Report Number
- 9610816-2011-00045
- Event Type
- Malfunction
- Date Received
- February 4, 2011
- Report Date
- January 13, 2011
- Manufacturer
- PHILIPS MEDICAL SYSTEMS
- Product Code
- MHX
- PMA / PMN Number
- K030038
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AR, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
(B)(4). PHILIPS IS REPORTING THIS EVENT ONLY BECAUSE WE DO NOT HAVE ENOUGH INFORMATION TO DETERMINE WHETHER THERE WAS ANY LOSS OF AUDIO FUNCTION AND THEREFORE ANY HEALTH RISK. 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 HIS MP30 HAS A "SPEAKER MALF" INOP MESSAGE. NO PATIENT HARM WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MP30 INTELLIVUE PATIENT MONITOR | MHX | PHILIPS MEDICAL SYSTEMS | M8002A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |