FDA Adverse Event
Malfunction
Summary report: N
INTELLIVUE MP2
MDR report key: 3770463
·
Received March 5, 2014
Report
- Report Number
- 9610816-2014-00049
- Event Type
- Malfunction
- Date Received
- March 5, 2014
- Report Date
- February 21, 2014
- Manufacturer
- PHILIPS MEDICAL SYSTEMS
- Product Code
- MHX
- PMA / PMN Number
- K071426
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CT, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
(B)(4): A FOLLOW UP REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE ALARM DID NOT SOUND AND GENERATES A FALSE WAVEFORM. NO PT HARM WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 133495 | INTELLIVUE MP2 | MHX | PHILIPS MEDICAL SYSTEMS | M8102A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |