FDA Adverse Event
Malfunction
Summary report: N
VS4 VITAL SIGNS MONITOR
MDR report key: 8063605
·
Received November 13, 2018
Report
- Report Number
- 1218950-2018-08912
- Event Type
- Malfunction
- Date Received
- November 13, 2018
- Report Date
- October 16, 2018
- Manufacturer
- PHILIPS MEDICAL SYSTEMS
- Product Code
- DXN
- UDI-DI
- 00884838028890
- PMA / PMN Number
- K120132
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
Narratives
Description of Event or Problem · 1
THE CUSTOMER REPORTED A SPEAKER DOES NOT WORK. THE CUSTOMER REPORTED THAT THE DEVICE WAS NOT IN USE ON A PATIENT AT THE TIME OF THE COMPLAINT/EVENT. THERE WAS NO ADVERSE EVENT TO A PATIENT OR USER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 905227 | VS4 VITAL SIGNS MONITOR | PATIENT MONITOR | DXN | PHILIPS MEDICAL SYSTEMS | 863283 | 00884838028890 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |