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 |