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