BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    INTELLIVUE MX40 802.11A/B/G

    MDR report key: 3770483 · Received March 5, 2014

    Report

    Report Number
    1218950-2014-01185
    Event Type
    Malfunction
    Date Received
    March 5, 2014
    Report Date
    February 18, 2014
    Manufacturer
    PHILIPS MEDICAL SYSTEMS
    Product Code
    DSI
    PMA / PMN Number
    K113125
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NL
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). A FOLLOW-UP REPORT WILL BE SUBMITTED ONCE THE INVESTIGATION IS COMPLETED.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THEY WERE NOT GETTING AUDIO FROM THEIR MX40 DEVICE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    134095 INTELLIVUE MX40 802.11A/B/G DSI PHILIPS MEDICAL SYSTEMS 865352

    Patients

    Seq Age Sex Outcome Treatment
    1