FDA Adverse Event
Malfunction
Summary report: N
MX40 1.4 GHZ SMART HOPPING
MDR report key: 8687472
·
Received June 11, 2019
Report
- Report Number
- 1218950-2019-04129
- Event Type
- Malfunction
- Date Received
- June 11, 2019
- Report Date
- May 29, 2019
- Manufacturer
- PHILIPS MEDICAL SYSTEMS
- Product Code
- DSI
- UDI-DI
- 00884838082236
- PMA / PMN Number
- K113125
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
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 A SPEAKER MALFUNCTION NOP ERROR MESSAGE. NO THERE WAS NO ADVERSE EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 479397 | MX40 1.4 GHZ SMART HOPPING | MX40 1.4 GHZ SMART HOPPING | DSI | PHILIPS MEDICAL SYSTEMS | 865350 | 00884838082236 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |