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