FDA Adverse Event Malfunction Summary report: N

MP50 INTELLIVUE PATIENT MONITOR

MDR report key: 2010135 · Received February 11, 2011

Report

Report Number
9610816-2011-00082
Event Type
Malfunction
Date Received
February 11, 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
IT
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE CUSTOMER CALLED WITH A REQUEST TO TRACE THE USER WHO MAY HAVE TURNED THE ALARMS OFF. NO PT HARM WAS REPORTED. THERE IS NO INDICATION OF A DEVICE MALFUNCTION OR LABELING ISSUE. 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 CALLED WITH A REQUEST TO TRACE THE USER WHO MAY HAVE TURNED THE ALARMS OFF. 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