BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PHILLIPS

    MDR report key: 4121849 · Received September 22, 2014

    Report

    Report Number
    MW5038345
    Event Type
    Malfunction
    Date Received
    September 22, 2014
    Date of Event
    September 10, 2014
    Report Date
    September 22, 2014
    Manufacturer
    PHILLIPS
    Product Code
    MHX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    HALF OF TELE SYSTEM WENT DOWN FOR 30 MINUTES; PT TRIAGED OFF TO OTHERSIDE; FUNCTION RETURNED; UHS AND PHILIPS IN TO MANAGE SYSTEM. TOTAL OF TWO (2) PTS INCLUDED IN DOWNTIME. NO HARM TO EITHER PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    587537 PHILLIPS TELEMETRY MHX PHILLIPS 865139-M3150

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR