FDA Adverse Event
Malfunction
Summary report: N
MP5
MDR report key: 7099175
·
Received December 8, 2017
Report
- Report Number
- 9610816-2017-00389
- Event Type
- Malfunction
- Date Received
- December 8, 2017
- Report Date
- November 16, 2017
- Manufacturer
- PHILIPS MEDICAL SYSTEMS
- Product Code
- BZQ
- PMA / PMN Number
- K091395
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SP
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE SPEAKER DID NOT WORK ANYMORE. THERE WAS NO REPORT OF AN ADVERSE EVENT. THE DEVICE WAS NOT IN CLINICAL USE AT THE TIME OF THE ALLEGED MALFUNCTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 881345 | MP5 | PATIENT MONITOR | BZQ | PHILIPS MEDICAL SYSTEMS | M8105A (865024) |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |