INTELLIVUE PATIENT MONITOR MP30

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-10-14 for INTELLIVUE PATIENT MONITOR MP30 manufactured by Philips Medical Systems.

Event Text Entries

[57483501]
Patient Sequence No: 1, Text Type: N, H10


[57483502] Wrong vitals (bp) were being transmitted to emr. Spoke with philips, they had staff discharge old patient from monitor and cycle power, problem was then resolved. Manufacturer response for pt monitor, mp30 (per site reporter): service instructions - issue resolved.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number6030469
MDR Report Key6030469
Date Received2016-10-14
Date of Report2016-09-28
Date of Event2016-08-16
Report Date2016-09-28
Date Reported to FDA2016-09-28
Date Reported to Mfgr2016-09-28
Date Added to Maude2016-10-14
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationBIOMEDICAL ENGINEER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameINTELLIVUE PATIENT MONITOR MP30
Generic NameCALCULATOR, PULMONARY FUNCTION DATA
Product CodeBZC
Date Received2016-10-14
Model NumberMP30
Catalog NumberMP30
OperatorNURSE
Device AvailabilityY
Device Age6 YR
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerPHILIPS MEDICAL SYSTEMS
Manufacturer Address3000 MINUTEMAN RD ANDOVER MA 01810 US 01810


Patients

Patient NumberTreatmentOutcomeDate
10 2016-10-14

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