FDA Adverse Event
Malfunction
Summary report: N
SURESIGNS VS2+ NBP/SPO2/WIRELESS
MDR report key: 7926737
·
Received October 2, 2018
Report
- Report Number
- 1218950-2018-07796
- Event Type
- Malfunction
- Date Received
- October 2, 2018
- Report Date
- September 5, 2018
- Manufacturer
- PHILIPS MEDICAL SYSTEMS
- Product Code
- DXN
- PMA / PMN Number
- K112652
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SP
- Reporter Occupation
- BIOMEDICAL ENGINEER
Narratives
Additional Manufacturer Narrative · 1
SERIAL NUMBER NOT PROVIDED. A FOLLOW-UP REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION.
Description of Event or Problem · 1
THE CUSTOMER REPORTED A SPEAKER MALFUNCTION. THE CUSTOMER REPORTED THAT THE DEVICE WAS IN USE ON A PATIENT. THERE WAS NO ADVERSE EVENT TO A PATIENT OR USER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 767192 | SURESIGNS VS2+ NBP/SPO2/WIRELESS | PATIENT MONITOR | DXN | PHILIPS MEDICAL SYSTEMS | 863279 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |