FDA Adverse Event Malfunction Summary report: N

INTELLIVUE MULTI MEASUREMENT SERVER X2

MDR report key: 2935533 · Received January 4, 2013

Report

Report Number
9610816-2013-00006
Event Type
Malfunction
Date Received
January 4, 2013
Report Date
December 4, 2012
Manufacturer
PHILIPS MEDICLA SYSTEMS
Product Code
MHX
PMA / PMN Number
K071426
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). 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 AN X2 DEVICE FELL AND THEY LOST SCREEN AND TOUCHSCREEN CAPABILITY. NO PT HARM WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
5639 INTELLIVUE MULTI MEASUREMENT SERVER X2 MHX PHILIPS MEDICLA SYSTEMS M3002A

Patients

Seq Age Sex Outcome Treatment
1