FDA Adverse Event Malfunction Summary report: N

PHILIPS M2735A SMART TOCO + TRANSDUCER

MDR report key: 9212594 · Received October 20, 2019

Report

Report Number
3007409280-2019-00047
Event Type
Malfunction
Date Received
October 20, 2019
Date of Event
September 23, 2019
Report Date
September 23, 2019
Manufacturer
PHILIPS MEDIZIN SYSTEME BOEBLINGEN GMBH
Product Code
HGM
PMA / PMN Number
K140535
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 0

THE COMPLAINT DEVICE WAS RETURNED. DEVICE EVALUATION IDENTIFIED AN INTERNAL SHORT AND BROKEN SCREW POSTS. THE US SMART TRANSDUCER BELT KNOB, ECG CONNECTOR, ECG FLEX CIRCUIT, CASE COVER RUBBER GASKET, BOTTOM COVER, AND THE PLUS TOP COVER WERE REPLACED. THE PARAMETER TESTS WERE PERFORMED AND ALL PASSED. A DEFINITIVE ROOT CAUSE FOR THE CASE AND CABLE ISSUES CANNOT BE DETERMINED. THIS TYPE OF EVENT WILL CONTINUE TO BE MONITORED. SUBSEQUENT TO THE INITIAL MDR, ADDITIONAL REVIEW OF THE HHE-2019-01 AND HHE-2019-02 ASSESSMENTS HAVE BEEN CONDUCTED. THE HEALTH CARE PROFESSIONAL HAS CONCLUDED ALL FETAL TRANSDUCER PRODUCTS IN RELATION TO THE RESULTED RECALL FOR BOTH HHE'S PROVIDED, DO NOT QUALIFY AS REPORTABLE INCIDENCES; THEREFORE, THIS MALFUNCTION SHOULD NOT HAVE BEEN SUBMITTED.

Additional Manufacturer Narrative · 1

THE DEVICE HAS BEEN RECEIVED. THE INVESTIGATION IS NOT YET COMPLETE. A FOLLOW-UP REPORT WILL BE SUBMITTED UPON COMPLETION OF THE DEVICE EVALUATION.

Description of Event or Problem · 1

REPORTEDLY, POST REPAIR THE DEVICE WAS HAVING CASE AND CABLE ISSUES. IT IS UNKNOWN IF THERE WAS PATIENT INVOLVEMENT. THERE WAS NO REPORT OF PATIENT HARM. NO ADDITIONAL INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1006406 PHILIPS M2735A SMART TOCO + TRANSDUCER TRANSDUCER HGM PHILIPS MEDIZIN SYSTEME BOEBLINGEN GMBH

Patients

Seq Age Sex Outcome Treatment
1