MAUDE MDR 1489036

MDR report key
1489036
Report number
1218950-2009-01056
Event key
0
Event type
3
Date received
2009-08-19
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
999
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
11810 HOLTER ANALYSIS SWPHILIPS MEDICAL SYSTEMSMLOM3730AN Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12009-08-190

Event Narratives#

D

Patient 1

THE CUSTOMER REPORTED THAT ONE HOLTER SCAN OVER-WROTE INTO ANOTHER SCAN, WHICH CAUSED TWO PTS TO HAVE THE SAME ECG DATA.

N

Patient 1

THE CUSTOMER REPORTED THAT ONE HOLTER SCAN OVER-WROTE INTO ANOTHER SCAN, WHICH CAUSED TWO PTS TO HAVE THE SAME ECG DATA. THE FACTORY HAS NOT YET RECEIVED THE DEVICE FOR EVAL, AND THE COMPLAINT IS STILL BEING INVESTIGATED. A FOLLOW-UP REPORT WILL BE SUBMITTED, UPON COMPLETION OF THE INVESTIGATION.