FDA Adverse Event Death Summary report: N

PHILIPS INFORMATION CENTER

MDR report key: 2185432 · Received July 25, 2011

Report

Report Number
1218950-2011-01895
Event Type
Death
Date Received
July 25, 2011
Date of Event
June 28, 2011
Report Date
June 28, 2011
Manufacturer
PHILIPS HEALTHCARE - ANDOVER
Product Code
MHX
PMA / PMN Number
K011093
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OK, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE CUSTOMER REPORTED THAT WHILE A PATIENT WAS CODING, THE STAFF HEARD ALARMS AT THE BEDSIDE, BUT NOT AT THE CENTRAL STATION. PHILIPS IS IN THE PROCESS OF OBTAINING ADDITIONAL INFORMATION 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 REPORTED THAT THE STAFF HEARD ALARMS AT THE BEDSIDE, BUT NOT AT THE CENTRAL STATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PHILIPS INFORMATION CENTER MHX, DRT MHX PHILIPS HEALTHCARE - ANDOVER M3150B

Patients

Seq Age Sex Outcome Treatment
1 Death