FDA Adverse Event Injury Summary report: N

MP70 INTELLIVUE PATIENT MONITOR

MDR report key: 3230039 · Received July 12, 2013

Report

Report Number
9610816-2013-00136
Event Type
Injury
Date Received
July 12, 2013
Date of Event
June 8, 2013
Report Date
June 12, 2013
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
DSI
PMA / PMN Number
K021300
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

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

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT A PATIENT HAD A DESAT EPISODE BUT THE MONITOR DID NOT GENERATE AN ALARM. THE PATIENT REQUIRED EMERGENT CARE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
324060 MP70 INTELLIVUE PATIENT MONITOR DSI PHILIPS MEDICAL SYSTEMS M8007A

Patients

Seq Age Sex Outcome Treatment
1