BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PHILIPS MEDIZIN SYSTEMS MONITORING DEVICE - ARTERIAL LINE

    MDR report key: 8231463 · Received January 8, 2019

    Report

    Report Number
    MW5082976
    Event Type
    Malfunction
    Date Received
    January 8, 2019
    Date of Event
    December 19, 2018
    Report Date
    January 3, 2019
    Manufacturer
    PHILIPS - BOBLINGEN GMBH
    Product Code
    MHX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PHILIPS MEDIZIN SYSTEMS MODULE - ARTERIAL LINE MODULE WOULD NOT WORK. THIS MODULE IS A PIECE OF THE MONITOR. (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    17872 PHILIPS MEDIZIN SYSTEMS MONITORING DEVICE - ARTERIAL LINE MONITOR, PHYSIOLOGICAL, PATIENT (WITH ARRHYTHMIA DETECTION OR ALARMS) MHX PHILIPS - BOBLINGEN GMBH M1006B

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR