FDA Adverse Event Malfunction Summary report: N

PATIENT INFORMATION CENTER IX

MDR report key: 22565651 · Received July 22, 2025

Report

Report Number
9610816-2025-000650
Event Type
Malfunction
Date Received
July 22, 2025
Date of Event
July 15, 2025
Report Date
July 22, 2025
Manufacturer
PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH
Product Code
MHX
UDI-DI
00884838122772
PMA / PMN Number
K211900
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WY, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A REMOTE CLINICAL SPECIALIST (RCS) REVIEWED THE CLINICAL AUDIT TRAIL WITH THE BIOMED TECHNICIAN. THE RCS CONFIRMED THAT THE MONITOR GENERATED PAUSE YELLOW ALARM, THE PAUSE ALARM WAS ACKNOWLEDGED AND THE USER ANNOTATED/SAVED STRIP. BASED ON THE INFORMATION AVAILABLE AND THE TESTING CONDUCTED WE WERE UNABLE TO REPLICATE THE REPORTED PROBLEM. THE REPORTED PROBLEM WAS NOT CONFIRMED. THE DEVICE WAS CONFIRMED TO BE OPERATING PER SPECIFICATIONS AND NO FAILURE WAS IDENTIFIED. THE INVESTIGATION CONCLUDES THAT NO FURTHER ACTION IS REQUIRED AT THIS TIME.

Description of Event or Problem · 0

PHILIPS RECEIVED A COMPLAINT ON THE PATIENT INFORMATION CENTER IX INDICATING THAT THE ICU MONITOR (BED ICU8) DID NOT GENERATE A YELLOW PAUSE ALARM. THE DEVICE WAS IN USE ON PATIENT AT TIME OF EVENT, THERE WAS NO ADVERSE EVENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1574359 PATIENT INFORMATION CENTER IX PATIENT INFORMATION CENTER IX MHX PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH PATIENT INFORMATION CENTER IX 00884838122772

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown