MAUDE MDR 1489015

MDR report key
1489015
Report number
1218950-2009-01229
Event key
0
Event type
3
Date received
2009-09-25
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Contact
PATTI NILL
Address
3000 MINUTEMAN RD. ANDOVER MA 01810 US
Phone
978-978-9786
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1ZYMED HOLTER SOFTWAREPHILIPS MEDICAL SYSTEMSMLO860292N N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12009-09-250

Event Narratives#

D

Patient 1

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.

N

Patient 1

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.