FDA Adverse Event
Malfunction
Summary report: N
PHILIPS HEALTHCARE MONITOR
MDR report key: 9592144
·
Received January 14, 2020
Report
- Report Number
- MW5092238
- Event Type
- Malfunction
- Date Received
- January 14, 2020
- Date of Event
- December 24, 2019
- Report Date
- January 10, 2020
- Manufacturer
- PHILIPS HEALTHCARE / PHILIPS MEDIZIN SYSTEMS BOEBLINGEN GMBH
- Product Code
- MWI
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- KY, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
Narratives
Description of Event or Problem · 1
PHILIPS M3001A A04 MMS UNABLE TO PROVIDE SPO2 VALUE, ESPECIALLY ON LOW-PERFUSION / COMPROMISED PTS. MALFUNCTION IS NOT LIMITED TO ONE DEVICE. MULTIPLE TROUBLESHOOTING HAS OCCURRED, AND ANTICIPATE A SOFTWARE / HARDWARE PROBLEM WITH THE A04 CONFIGURATION. PREVIOUS A02 CONFIGURATION DID NOT HAVE THE SAME MALFUNCTION. FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 52578 | PHILIPS HEALTHCARE MONITOR | MONITOR, PHYSIOLOGICAL, PATIENT (WITH ARRHYTHMIA DETECTION OR ALARMS | MWI | PHILIPS HEALTHCARE / PHILIPS MEDIZIN SYSTEMS BOEBLINGEN GMBH | INTELLIVUE MMS |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |