AVALON FM30

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2009-09-16 for AVALON FM30 manufactured by Philips Medical Sys.

Event Text Entries

[1260105] We are using 4ea philips fetal monitors -model avalon fm30's-. We have had numerous complaints regarding no calculation of the fetal heart rate, although there is a very strong audible doppler sound coming from the monitor. Without any user intervention, the fhr -fetal heart rate- will suddenly appear. We are using the monitors for nst's -non stress testing- in our high risk pregnancy pre-natal care area.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5012783
MDR Report Key1481560
Date Received2009-09-16
Date of Report2009-09-16
Date of Event2009-09-15
Date Added to Maude2009-09-25
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationBIOMEDICAL ENGINEER
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameAVALON FM30
Generic NameFETAL MONITOR
Product CodeKXN
Date Received2009-09-16
Model NumberAVALON FM30
Lot NumberDE53107006
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerPHILIPS MEDICAL SYS
Manufacturer AddressANDOVER MA US


Patients

Patient NumberTreatmentOutcomeDate
10 2009-09-16

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