FDA Adverse Event Malfunction Summary report: N

SURESIGNS VS3 PATIENT MONITOR

MDR report key: 2310334 · Received September 29, 2011

Report

Report Number
1218950-2011-02671
Event Type
Malfunction
Date Received
September 29, 2011
Report Date
September 1, 2011
Manufacturer
PHILIPS HEALTHCARE - ANDOVER
Product Code
MHX
PMA / PMN Number
K082280
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE CUSTOMER REPORTED A MONITOR SPEAKER MALFUNCTION. THIS COMPLAINT IS DEEMED REPORTABLE SINCE PHILIPS DOES NOT HAVE ENOUGH DATA TO VERIFY THAT THERE WAS NO SOUND COMING FROM THE SPEAKER. NO PATIENT HARM WAS REPORTED. 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 A MONITOR SPEAKER MALFUNCTION. THIS COMPLAINT IS DEEMED REPORTABLE SINCE PHILIPS DOES NOT HAVE ENOUGH DATA TO VERIFY THAT THERE WAS NO SOUND COMING FROM THE SPEAKER. NO PATIENT HARM WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SURESIGNS VS3 PATIENT MONITOR MHX PHILIPS HEALTHCARE - ANDOVER 863071

Patients

Seq Age Sex Outcome Treatment
1