FDA Adverse Event Malfunction Summary report: N

INTELLIVUE MULTI MEASUREMENT SERVER X2

MDR report key: 4232429 · Received October 23, 2014

Report

Report Number
9610816-2014-00271
Event Type
Malfunction
Date Received
October 23, 2014
Report Date
October 1, 2014
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
MHX
PMA / PMN Number
K071426
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 1

PR#: (B)(4). A FOLLOW UP REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION.

Description of Event or Problem · 1

THE CUSTOMER STATED THAT THE SPO2 MEASUREMENT WAS INTERMITTENT AND DID NOT PROVIDE AN INOP. NO PT HARM WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
674432 INTELLIVUE MULTI MEASUREMENT SERVER X2 MONITOR, PHYSIOLOGICAL, PATIENT(WITH ARRHYTHMIA DETECTION OR ALARMS) MHX PHILIPS MEDICAL SYSTEMS M3002A

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown