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 2012-05-29 for FETAL MONITOR M1351A manufactured by Philips Medical Systems.
[2641488]
The customer reported that the m1351a fetal monitor displayed error 601 after a fall. No pt harm was reported.
Patient Sequence No: 1, Text Type: D, B5
[9933782]
(b)(4): the customer reported that the m1351a fetal monitor displayed error 601 after a fall. There is not sufficient info to determine if this monitor fell from a mount. Philips is in the process of obtaining additional info concerning this event and the complaint is still under investigation. A final report will be submitted once the investigation is completed.
Patient Sequence No: 1, Text Type: N, H10
Report Number | 9610816-2012-00252 |
MDR Report Key | 2595304 |
Report Source | 05,06,07 |
Date Received | 2012-05-29 |
Date of Report | 2012-04-30 |
Date Mfgr Received | 2012-04-30 |
Device Manufacturer Date | 1997-04-01 |
Date Added to Maude | 2012-10-01 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 0 |
Event Location | 0 |
Manufacturer Contact | DENYSE MURPHY |
Manufacturer Street | 3000 MINUTEMAN RD |
Manufacturer City | ANDOVER MA 01810 |
Manufacturer Country | US |
Manufacturer Postal | 01810 |
Manufacturer Phone | 9786597844 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | FETAL MONITOR |
Product Code | HFM |
Date Received | 2012-05-29 |
Model Number | M1351A |
Operator | HEALTH PROFESSIONAL |
Device Availability | Y |
Device Age | DA |
Device Eval'ed by Mfgr | N |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | PHILIPS MEDICAL SYSTEMS |
Manufacturer Address | 3000 MINUTEMAN RD ANDOVER MA 01810 US 01810 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2012-05-29 |