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