FDA Adverse Event
Malfunction
Summary report: N
FETAL MONITOR
MDR report key: 3823476
·
Received May 1, 2014
Report
- Report Number
- 9610816-2014-00111
- Event Type
- Malfunction
- Date Received
- May 1, 2014
- Report Date
- April 8, 2014
- Manufacturer
- PHILIPS MEDICAL SYSTEMS
- Product Code
- HFM
- PMA / PMN Number
- K921957
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IT
- 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 "IT DOES NOT TRACE THE RIGHT VARIABILITY". NO PATIENT HARM WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 261923 | FETAL MONITOR | HFM | PHILIPS MEDICAL SYSTEMS | M1351A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |