FDA Adverse Event Malfunction Summary report: N

COMPACT PORTABLE PATIENT MONITOR WITH WIRELESS ALARM

MDR report key: 2220139 · Received August 8, 2011

Report

Report Number
9610816-2011-00477
Event Type
Malfunction
Date Received
August 8, 2011
Report Date
July 12, 2011
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
MHX
PMA / PMN Number
K001664
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4): THE REPORTED DESCRIPTION OF THIS COMPLAINT NOTES THAT THE BEDSIDE CARDIAC MONITOR IS REPORTING ELEVATED PT VALUES WHICH ARE BEYOND THE ACTUAL PT VALUES. IT IS UNK WHETHER ANY "FALSE" ALARMS WERE REPORTED OR IF ANY ALARM CONDITIONS FAILED TO TRIGGER AN ALARM. NO PT HARM WAS REPORTED. PHILIPS IS IN THE PROCESS OF OBTAINING ADD'L INFO 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 REPORTED DESCRIPTION OF THIS COMPLAINT NOTES THAT THE BEDSIDE CARDIAC MONITOR IS REPORTING ELEVATED PT VALUES WHICH ARE BEYOND THE ACTUAL PT VALUES. NO PT HARM WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 COMPACT PORTABLE PATIENT MONITOR WITH WIRELESS ALARM MHX PHILIPS MEDICAL SYSTEMS M3000A

Patients

Seq Age Sex Outcome Treatment
1