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 |