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