BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PIIC IX TELEMETRY SERVER

    MDR report key: 4143188 · Received September 29, 2014

    Report

    Report Number
    4143188
    Event Type
    Malfunction
    Date Received
    September 29, 2014
    Date of Event
    April 9, 2014
    Report Date
    September 29, 2014
    Manufacturer
    PHILLIPS MEDICAL SYSTEMS
    Product Code
    MHX
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    605254 PIIC IX TELEMETRY SERVER MONITOR, PHYSIOLOGICAL, PATIENT(WITH ARRHYTHMIA DETECTION OR MHX PHILLIPS MEDICAL SYSTEMS * *

    Patients

    Seq Age Sex Outcome Treatment
    1 *