FDA Adverse Event
Injury
Summary report: N
FETAL MONITOR
MDR report key: 2879057
·
Received December 10, 2012
Report
- Report Number
- 9610816-2012-00496
- Event Type
- Injury
- Date Received
- December 10, 2012
- Report Date
- December 3, 2012
- Manufacturer
- PHILIPS MEDICAL SYSTEMS
- Product Code
- HFM
- PMA / PMN Number
- UNK
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SP
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
(B)(4). THE CUSTOMER REPORTED BPM WAS UNDER 80 AND THE ALARMS WERE NOT SOUNDING. THE BABY WAS REVIVED AFTER BIRTH AND THE BABY IS CURRENTLY STABLE AT THE NEONATAL ICU. PHILIPS IS IN THE PROCESS OF OBTAINING ADDITIONAL INFO 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 BPM WAS UNDER 80 AND THE ALARMS WERE NOT SOUNDING. THE BABY WAS REVIVED AFTER BIRTH AND THE BABY IS CURRENTLY STABLE AT THE NEONATAL ICU.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | FETAL MONITOR | HFM | PHILIPS MEDICAL SYSTEMS | M1351A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |