FDA Adverse Event Malfunction Summary report: N

SURESIGNS VM 4 PATIENT MONITOR

MDR report key: 2820587 · Received October 4, 2012

Report

Report Number
1218950-2012-03309
Event Type
Malfunction
Date Received
October 4, 2012
Report Date
September 10, 2012
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
MHX
PMA / PMN Number
K052707
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SD, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). IN AN ABUNDANCE OF CAUTION WE WILL REPORT AUDIO LOSS EVEN THOUGH A VISUAL WARNING IS PROVIDED AND PRODUCT LABELING STATES: WARNING: NEVER PAUSE AN AUDIBLE ALARM OR DECREASE THE ALARM VOLUME IF THIS COULD COMPROMISE PATIENT SAFETY. DO NOT RELY EXCLUSIVELY ON THE AUDIBLE ALARM SYSTEM FOR PATIENT MONITORING. THE MOST RELIABLE METHOD OF PATIENT MONITORING REQUIRES CORRECT OPERATION OF THE MONITOR AND CLOSE OBSERVATION OF THE PATIENT. PHILIPS IS IN THE PROCESS OF OBTAINING ADDITIONAL INFORMATION REGARDING THIS INCIDENT 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 THAT THE AUDIO FAILED WHEN THE MONITOR WAS POWERED ON. THE CUSTOMER STATED THAT THERE WAS NO SOUND AT ALL. 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