FDA Adverse Event
Malfunction
Summary report: N
SMART MONITOR 2 PS
MDR report key: 4330095
·
Received August 26, 2014
Report
- Report Number
- 1218950-2014-07405
- Event Type
- Malfunction
- Date Received
- August 26, 2014
- Report Date
- August 1, 2014
- Manufacturer
- PHILIPS RESPIRONICS -CHMV
- Product Code
- NPF
- PMA / PMN Number
- K032403, K06
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
(B)(4) A F/U REPORT WILL BE SUBMITTED ONCE THE INVESTIGATION IS COMPLETE. PMA 510(K): K032403, K061256.
Description of Event or Problem · 1
PHILIPS HEALTHCARE RECEIVED A COMPLAINT OF A BATTERY DRAINING TOO QUICKLY. THE COMPLAINT ISSUE ALLEGED BY THE CUSTOMER WAS NOT OBSERVED DURING THE REPAIR EVALUATION OF THE DEVICE AT THE MANUFACTURER'S SERVICE CTR, HOWEVER, A FINDING OF "FAULTY ALARM MODULE" NOT RELATED TO THE CUSTOMER'S COMPLAINT WAS OBSERVED. THE SECONDARY ALARM DID ALARM AS EXPECTED BUT WE ARE REPORTING THE ON THE FAULTY ALARM MODULE PREVENTATIVELY. THE MODULE WILL BE SENT TO THE SUPPLIER AND A F/U REPORT WILL BE FILED ONCE THE INVESTIGATION IS COMPLETE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 517559 | SMART MONITOR 2 PS | NPF | NPF | PHILIPS RESPIRONICS -CHMV | 1014557 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |