CESAR-OMCP-VISUB (HM3000) 72239

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 2011-02-02 for CESAR-OMCP-VISUB (HM3000) 72239 manufactured by Philips Healthcare.

Event Text Entries

[1957898] The customer reported that the screen will not boot no fluoro and there is a burning smell in the equipment room.
Patient Sequence No: 1, Text Type: D, B5


[9038714] (b)(4). The investigation showed that the field service engineer (fse) found the geo ceaser extension board was burnt. The board was replaced and operation verified. The system's end of service was 2010. The replacement board was from the hospital stock.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3003768277-2011-00090
MDR Report Key2013415
Report Source07
Date Received2011-02-02
Date of Report2011-01-05
Date Mfgr Received2011-01-05
Date Added to Maude2011-05-04
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactANTHONY PERRY
Manufacturer Street595 MINER RD
Manufacturer CityCLEVELAND OH 44143
Manufacturer CountryUS
Manufacturer Postal44143
Manufacturer Phone4404832025
Single Use0
Remedial ActionRP
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCESAR-OMCP-VISUB (HM3000)
Product CodeIZF
Date Received2011-02-02
Model Number72239
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerPHILIPS HEALTHCARE
Manufacturer AddressVEENPLUIS 4-6 BEST 5860DA NL 5860 DA


Patients

Patient NumberTreatmentOutcomeDate
10 2011-02-02

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