FDA Adverse Event Malfunction Summary report: N

INTELLIVUE MP5

MDR report key: 2121203 · Received May 4, 2011

Report

Report Number
9610816-2011-00228
Event Type
Malfunction
Date Received
May 4, 2011
Report Date
September 20, 2010
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
MHX
PMA / PMN Number
K091395
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4): THE CUSTOMER REPORTED THAT THERE WAS A LOSS OF AUDIO AFTER RECEIVING A VISUAL "SPEAKER MALF." INOP. NO PT HARM WAS REPORTED. BOTH THE MAINBOARD AND SPEAKER WERE REPLACED TO RESOLVE THE AUDIO PROBLEM AND INOP. THE DEVICE LABELING (IFU) ADEQUATELY WARNS USERS TO NOT RELY SOLELY ON AUDIBLE ALARMING. CONSIDERATION OF THIS COMPLAINT AND SIMILAR COMPLAINTS SUPPORTS THAT THERE ARE NO DESIGN, MFG, MATERIALS, OR LABELING PROBLEMS. NO FURTHER INVESTIGATION OR ACTION IS WARRANTED.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THERE WAS A LOSS OF AUDIO AFTER RECEIVING A VISUAL "SPEAKER MALF." INOP. NO PT HARM WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INTELLIVUE MP5 MHX PHILIPS MEDICAL SYSTEMS M8105A (865024)

Patients

Seq Age Sex Outcome Treatment
1