FDA Adverse Event
Death
Summary report: N
PATIENT INFORMATION CENTER IX
MDR report key: 25171518
·
Received May 14, 2026
Report
- Report Number
- 9610816-2026-100937
- Event Type
- Death
- Date Received
- May 14, 2026
- Date of Event
- May 12, 2026
- Report Date
- May 14, 2026
- Manufacturer
- PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH
- Product Code
- MHX
- PMA / PMN Number
- K211900
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- BR
- Reporter Occupation
- BIOMEDICAL ENGINEER
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
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 COMPLETE. E1: REPORTING INSTITUTION PHONE #: (B)(6). REPORTER PHONE #: (B)(6).
Additional Manufacturer Narrative · 0
THIS REPORT WAS REPORTED UNDER INCORRECT REGISTRATION NUMBER, PLEASE REFER TO 1218950-2026-100384 FOR FURTHER INFORMATION REGARDING THIS COMPLAINT.
Description of Event or Problem · 0
PHILIPS RECEIVED A COMPLAINT ON A PATIENT INFORMATION CENTER IX INDICATING THAT THE DEVICE DID NOT ALARM AND THE PATIENT EXPIRED. NO ADDITIONAL INFORMATION WAS PROVIDED; THEREFORE, GOOD FAITH EFFORTS ARE BEING PERFORMED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 566142 | PATIENT INFORMATION CENTER IX | MONITOR, PHYSIOLOGICAL, PATIENT(WITH ARRHYTHMIA DETECTION OR ALARMS) | MHX | PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH | PATIENT INFORMATION CENTER IX |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |