FDA Adverse Event Malfunction Summary report: N

VS3; NBP, SPO2, TEMP

MDR report key: 3891929 · Received February 10, 2014

Report

Report Number
1218950-2014-00604
Event Type
Malfunction
Date Received
February 10, 2014
Report Date
January 14, 2014
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
MHX
PMA / PMN Number
K082280
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). A F/U REPORT WILL BE SUBMITTED ONCE THE INVESTIGATION IS COMPLETED.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE MONITOR WAS FREEZING UP INTERMITTENTLY WHILE IN USE. NO PT HARM WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
88769 VS3; NBP, SPO2, TEMP MHX PHILIPS MEDICAL SYSTEMS 863073

Patients

Seq Age Sex Outcome Treatment
1