FDA Adverse Event
Malfunction
Summary report: N
SURESIGNS VSI - NBP/SPO2
MDR report key: 8134448
·
Received December 5, 2018
Report
- Report Number
- 1218950-2018-09495
- Event Type
- Malfunction
- Date Received
- December 5, 2018
- Report Date
- October 29, 2018
- Manufacturer
- PHILIPS MEDICAL SYSTEMS
- Product Code
- DXN
- PMA / PMN Number
- K112652
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
A FOLLOW-UP REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE PATIENT MONITOR SURE SIGNS VSI - NBP/SPO2 HAS AN AUDIO PROBLEM. THE DEVICE WAS IN USE ON A PATIENT. THERE WAS NO REPORT OF ANY ADVERSE EVENT TO PATIENT OR USER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 972409 | SURESIGNS VSI - NBP/SPO2 | PATIENT MONITOR | DXN | PHILIPS MEDICAL SYSTEMS | 863276 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |