FDA Adverse Event Malfunction Summary report: N

MP70 INTELLIVUE PATIENT MONITOR

MDR report key: 2040049 · Received March 25, 2011

Report

Report Number
9610816-2011-00160
Event Type
Malfunction
Date Received
March 25, 2011
Report Date
March 2, 2011
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
DSI
PMA / PMN Number
K021300
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4): THE CUSTOMER REPORTED THAT CONFIGURATION SETTINGS OF THE PATIENT MONITOR HAD BEEN CHANGED WITHOUT USER INTERACTION. THE EXACT ALARM SETTING REFERED TO WITHIN THIS COMPLAINT IS UNKNOWN. IT WAS NOTED THAT THIS CITED ALARM SETTING WAS MANUALLY CHANGED TO THE DESIRED SETTING. THERE HAVE BEEN NO FURTHER REPORTS OF THIS ISSUE WITH THE CITED MONITOR. DEVICE LABELING (INSTRUCTIONS FOR USE) ADEQUATELY DESCRIBES MEASUREMENT SETTINGS. CONSIDERATION OF THIS COMPLAINT AND SIMILAR COMPLAINTS SUPPORTS THAT THERE IS NO DESIGN, MANUFACTURING, MATERIALS, OR LABELING PROBLEM. NO FURTHER ACTION OR INVESTIGATION IS WARRANTED.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT CONFIGURATION SETTINGS OF THE PATIENT MONITOR HAD BEEN CHANGED WITHOUT USER INTERACTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MP70 INTELLIVUE PATIENT MONITOR DSI PHILIPS MEDICAL SYSTEMS M8007A

Patients

Seq Age Sex Outcome Treatment
1