PHILIPS INTEGRIS H ERROR

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-12-30 for PHILIPS INTEGRIS H ERROR manufactured by Philips.

Event Text Entries

[21772118] Films from biventricular permanent pacemaker placement and ablation unable to be sent to permanent storage. Philips service rep evaluated equipment and felt reason films would not be sent was due to the case file being corrupt. Films had to be deleted from equipment. Cath lab 7.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5039954
MDR Report Key4387175
Date Received2014-12-30
Date of Report2014-12-29
Date of Event2014-10-13
Date Added to Maude2015-01-07
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
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
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NamePHILIPS INTEGRIS H
Generic NameXRAY SYSTEM
Product CodeIZF
Date Received2014-12-30
Model NumberERROR
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerPHILIPS
Manufacturer AddressANDOVER MA US


Patients

Patient NumberTreatmentOutcomeDate
10 2014-12-30

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