ZYMED HOLTER SOFTWARE 860292

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06,07 report with the FDA on 2009-09-25 for ZYMED HOLTER SOFTWARE 860292 manufactured by Philips Medical Systems.

Event Text Entries

[1178418] In 2008, the customer reported that the ecg data that was transmitted to the holter application did not match what was being displayed by the patient monitoring pic (iic) philips information system.
Patient Sequence No: 1, Text Type: D, B5


[8367892] In 2008, the customer reported that the ecg data that was transmitted to the holter application did not match what was being displayed by the patient monitoring pic (iic) philips information system. In december of 2008, philips evaluated data provided by the customer and determined that there was a malfunction, where the time stamps on the exported holter ecg file did not match the screen capture of the pic (iic) provided by the customer. The data did not appear to be missing or altered in any other way. Note that no device was returned to philips, but sample ecg filed were returned to philips for evaluation.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1218950-2009-01229
MDR Report Key1489015
Report Source05,06,07
Date Received2009-09-25
Date of Report2008-10-14
Date Mfgr Received2008-10-14
Date Added to Maude2009-10-05
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactPATTI NILL
Manufacturer Street3000 MINUTEMAN RD.
Manufacturer CityANDOVER MA 01810
Manufacturer CountryUS
Manufacturer Postal01810
Manufacturer Phone9786593769
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameZYMED HOLTER SOFTWARE
Product CodeMLO
Date Received2009-09-25
Model Number860292
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerPHILIPS MEDICAL SYSTEMS
Manufacturer Address3000 MINUTEMAN RD. ANDOVER MA 01810 US 01810


Patients

Patient NumberTreatmentOutcomeDate
10 2009-09-25

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