BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MP50 INTELLIVUE PATIENT MONITOR

    MDR report key: 3212766 · Received July 1, 2013

    Report

    Report Number
    9610816-2013-00142
    Event Type
    Injury
    Date Received
    July 1, 2013
    Date of Event
    May 29, 2013
    Report Date
    June 25, 2013
    Manufacturer
    PHILIPS MEDICAL SYSTEMS
    Product Code
    MHX
    PMA / PMN Number
    K030038
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). A FOLLOW UP REPORT WILL BE SUBMITTED EITHER PHILIPS OBTAINS MORE INFO CONCERNING THIS EVENT.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT A MOUNTING ARM DROPPED AFTER RELEASING THE RELEASE ARM MECHANISM BY A NURSE CAUSING A MINOR HEAD INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    299509 MP50 INTELLIVUE PATIENT MONITOR MHX PHILIPS MEDICAL SYSTEMS M8004A

    Patients

    Seq Age Sex Outcome Treatment
    1