FDA Adverse Event
Death
Summary report: N
PHILIPS INFORMATION CENTER
MDR report key: 2192994
·
Received July 27, 2011
Report
- Report Number
- 1218950-2011-02136
- Event Type
- Death
- Date Received
- July 27, 2011
- Report Date
- July 3, 2011
- Manufacturer
- PHILIPS HEALTHCARE - ANDOVER
- Product Code
- MHX
- PMA / PMN Number
- K011093
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
(B)(4). THE CUSTOMER IS SEEKING RETROSPECTIVE DATA FOR A PATIENT THAT EXPIRED. 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 IS SEEKING RETROSPECTIVE DATA FOR A PATIENT THAT EXPIRED.
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 |