BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PHILIPS INTELLIVUE MX40 PATIENT MONITOR

    MDR report key: 7181800 · Received January 11, 2018

    Report

    Report Number
    7181800
    Event Type
    Injury
    Date Received
    January 11, 2018
    Date of Event
    December 26, 2017
    Report Date
    December 27, 2017
    Manufacturer
    PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
    Product Code
    MWI
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    TELEMETRY MONITOR WAS NOT WORKING WHILE PATIENT WAS BEING TRANSPORTED FROM THE EMERGENCY DEPARTMENT TO THE FLOOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    25478 PHILIPS INTELLIVUE MX40 PATIENT MONITOR MONITOR, PHYSIOLOGICAL, PATIENT(WITH ARRHYTHMIA DETECTION OR ALARMS) MWI PHILIPS ELECTRONICS NORTH AMERICA CORPORATION MX40-WL2

    Patients

    Seq Age Sex Outcome Treatment
    1 27 YR