FDA Adverse Event Malfunction Summary report: N

INTELLIVUE MX700 PATIENT MONITOR

MDR report key: 8077158 · Received November 16, 2018

Report

Report Number
9610816-2018-00316
Event Type
Malfunction
Date Received
November 16, 2018
Report Date
November 5, 2018
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
MHX
UDI-DI
00884838029088
PMA / PMN Number
K110622
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 0

SUBMISSION OF A REPORT DOES NOT CONSTITUTE AN ADMISSION THAT MEDICAL PERSONNEL, USER FACILITY, IMPORTER, DISTRIBUTOR, MANUFACTURER, OR PRODUCT CAUSED OR CONTRIBUTED TO THE EVENT.

Additional Manufacturer Narrative · 1

A FOLLOW UP REPORT WILL BE SUBMITTED ONCE THE INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE MONITOR DOESN'T ALARM AUDIBLY FOR VTACHY, BUT AT THE CENTRAL STATION (PIIC IX) A STRIP IS CONTAINED IN ALARM REVIEW. THERE WAS NO ADVERSE EVENT OF PATIENT HARM REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
916325 INTELLIVUE MX700 PATIENT MONITOR PATIENT MONITOR MHX PHILIPS MEDICAL SYSTEMS 865241 00884838029088

Patients

Seq Age Sex Outcome Treatment
1