FDA Adverse Event Malfunction Summary report: N

MX40 1.4 GHZ SMART HOPPING

MDR report key: 3043459 · Received March 13, 2013

Report

Report Number
1218950-2013-00812
Event Type
Malfunction
Date Received
March 13, 2013
Report Date
February 12, 2013
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
DSI
PMA / PMN Number
K113125
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE CUSTOMER REPORTED THAT THEY WERE NOT RECEIVING AUDIO FROM THEIR MX40 DEVICE. THERE WAS NO PT INVOLVEMENT. THE DEVICE WAS RETURNED TO PHILIPS BENCH REPAIR FOR EVAL. BENCH REPAIR FOUND THAT THE CASE WAS CRACKED, THE BATTERY CONTACTS WERE DAMAGED AND THE DEVICE DID NOT PROVIDE SOUND. THE DISPLAY, RADIO BOARD AND CASE COMPONENTS WERE REPLACED TO RESOLVE THE ISSUE. THE DEVICE PASSED ALL TEST AFTER THE REPAIR. THIS IS NOT A DEVICE MALFUNCTION. THE ISSUE IS CONSISTENT WITH ROUGH USE, OUTSIDE NORMAL AND EXPECTED (BAD BATTERY CONTACTS, CASE CRACKED, OR CORROSION). THE REPAIRED DEVICE WAS RETURNED TO THE CUSTOMER. TRENDING FOR THIS ISSUE SUPPORTS THAT THERE WAS NO MALFUNCTION OR HEALTH RISK AND THERE ARE NO DESIGN, MFG, MATERIALS, OR LABELING PROBLEMS. NO FURTHER INVESTIGATION OR ACTION IS WARRANTED.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THEY WERE NOT RECEIVING AUDIO FROM THEIR MX40 DEVICE. NO PT HARM WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
106192 MX40 1.4 GHZ SMART HOPPING DSI PHILIPS MEDICAL SYSTEMS 865350

Patients

Seq Age Sex Outcome Treatment
1