FDA Adverse Event Malfunction Summary report: N

MP70 INTELLIVUE PATIENT MONITOR

MDR report key: 3170858 · Received May 23, 2013

Report

Report Number
9610816-2013-00113
Event Type
Malfunction
Date Received
May 23, 2013
Report Date
April 26, 2013
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
DSI
PMA / PMN Number
K021300
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). A F/U REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THERE WAS A SPEAKER FAILURE. NO PT HARM WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
230007 MP70 INTELLIVUE PATIENT MONITOR DSI PHILIPS MEDICAL SYSTEMS M8007A

Patients

Seq Age Sex Outcome Treatment
1