FDA Adverse Event
Death
Summary report: N
MP70 INTELLIVUE PATIENT MONITOR
MDR report key: 2973615
·
Received February 12, 2013
Report
- Report Number
- 9610816-2013-00033
- Event Type
- Death
- Date Received
- February 12, 2013
- Report Date
- January 16, 2013
- Manufacturer
- PHILIPS MEDICAL SYSTEMS
- Product Code
- DSI
- PMA / PMN Number
- K021300
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
(B)(4). ALTHOUGH THE DEATH WAS RELATED TO A USER ERROR (SWITCHING TO COMFORT SCREEN), THIS COMPLAINT WAS DEEMED REPORTABLE SINCE THE MONITOR CONTRIBUTED TO THE EVENT AS A RESULT OF USER ERROR. A FULL INVESTIGATION WILL BE DONE. PRODUCT LABELING WARNS THE USER THAT THE MOST RELIABLE METHOD OF PT MONITORING COMBINES CLOSE PERSONAL SURVEILLANCE WITH CORRECT OPERATION OF MONITORING EQUIPMENT. 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 THAT A PT EXPIRED AND THE MONITOR DID NOT GENERATE ALARMS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 62331 | MP70 INTELLIVUE PATIENT MONITOR | DSI | PHILIPS MEDICAL SYSTEMS | M8007A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Death |