FDA Adverse Event Malfunction Summary report: N

MP70 INTELLIVUE PATIENT MONITOR

MDR report key: 2100048 · Received May 16, 2011

Report

Report Number
9610816-2011-00250
Event Type
Malfunction
Date Received
May 16, 2011
Report Date
April 27, 2011
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
DSI
PMA / PMN Number
K021300
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE REPORTED DESCRIPTION NOTES THAT THE BEDSIDE MONITOR DID NOT ALARM FOR AN SPO2 DESATURATION CONDITION. NO PT HARM WAS REPORTED. PHILIPS IS IN THE PROCESS OF OBTAINING ADD'L 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 REPORTED DESCRIPTION NOTES THAT THE BEDSIDE MONITOR DID NOT ALARM FOR AN SPO2 DESATURATION CONDITION. NO PT HARM WAS REPORTED.

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