FDA Adverse Event Malfunction Summary report: N

INTELLIVUE MULTI MEASUREMENT SERVER X2

MDR report key: 2215952 · Received August 9, 2011

Report

Report Number
9610816-2011-00449
Event Type
Malfunction
Date Received
August 9, 2011
Report Date
July 26, 2011
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
MHX
PMA / PMN Number
K071426
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4): THE CUSTOMER REPORTED THAT THE MONITOR REVERTED AUTOMATICALLY TO THE NEONATAL PROFILE WHEN MONITORING AN ADULT PT WITHOUT USER INTERACTION. NO PT HARM WAS REPORTED. THE NEONATAL PROFILE WAS LABELED AS "---", SO MAY HAVE BEEN DIFFICULT TO RECOGNIZE THAT THE PROFILE HAD CHANGED. WITH THE AVAILABLE INFO, IT IS CONSIDERED THAT THE NEONATAL DEFAULTS ARE NOT SUITABLE FOR THE ADULT PT CATEGORY, A CHANGE TO A NEONATAL DEFAULT PROFILE COULD POSE A DELAY IN TREATMENT AND A HEALTH RISK, AS, FOR EXAMPLE, THE HEART RATE ALARMS OR SPO2 ALARM LIMITS AND DELAYS COULD BE INAPPROPRIATE FOR AN ADULT PT. FOR EXAMPLE, AN ADULT WITH A RAISED HEART RATE WOULD NOT NECESSARILY TRIGGER AN UPPER LIMIT HEART RATE ALARM IF THE SETTINGS ARE THOSE FOR A NEONATAL PT. THEREFORE, IN THE ABSENCE OF FURTHER INFO, WE WILL REPORT THIS ISSUE IN ABUNDANT CAUTION. PHILIPS IS IN THE PROCESS OF OBTAINING ADDITIONAL INFO REGARDING THIS INCIDENT 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 MONITOR REVERTED AUTOMATICALLY TO THE NEONATAL PROFILE WHEN MONITORING AN ADULT PT WITHOUT USER INTERACTION. NO PT HARM WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INTELLIVUE MULTI MEASUREMENT SERVER X2 MHX PHILIPS MEDICAL SYSTEMS M3002A

Patients

Seq Age Sex Outcome Treatment
1