FDA Adverse Event Malfunction Summary report: N

SURESIGNS VM 4 PATIENT MONITOR

MDR report key: 2514768 · Received March 22, 2012

Report

Report Number
1218950-2012-00973
Event Type
Malfunction
Date Received
March 22, 2012
Report Date
February 29, 2012
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
MHX
PMA / PMN Number
K052707
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE CUSTOMER REPORTED THAT THE MONITOR WAS NOT PROVIDING AUDIBLE ALARMS. NO PATIENT HARM WAS REPORTED. THE PHILIPS RESPONSE CENTER ENGINEER (RCE) HELPED THE CUSTOMER THROUGH THE AUDIO TEST AND THE DEVICE PASSED ALL TESTING. THE RCE ALSO EXPLAINED DIFFERENT OPERATING MODES AND DIFFERENT ALARMS. THE CUSTOMER WAS SATISFIED. ALL INFORMATION INDICATES THAT THERE WAS NO MALFUNCTION. THE DEVICE LABELING (INSTRUCTIONS FOR USE/IFU) ADEQUATELY DESCRIBES AVAILABLE ALARM FUNCTIONS. NO FURTHER INVESTIGATION OR ACTION IS WARRANTED.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE MONITOR WAS NOT PROVIDING AUDIBLE ALARMS. NO PATIENT HARM WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SURESIGNS VM 4 PATIENT MONITOR MHX PHILIPS MEDICAL SYSTEMS 863063

Patients

Seq Age Sex Outcome Treatment
1