FDA Adverse Event Malfunction Summary report: N

MP50 INTELLIVUE PATIENT MONITOR

MDR report key: 2002670 · Received February 9, 2011

Report

Report Number
9610816-2011-00069
Event Type
Malfunction
Date Received
February 9, 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
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4): THE CUSTOMER REPORTED THAT THERE WAS A FAILURE TO ALARM FOR A LOW HEART RATE. NO PT HARM WAS REPORTED. PHILIPS IS IN THE PROCESS OF OBTAINING ADDITIONAL INFO 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 THERE WAS A FAILURE TO ALARM FOR A LOW HEART RATE. NO PT 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