PHILIPS M3001A-68402 862442

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-03-20 for PHILIPS M3001A-68402 862442 manufactured by Philips Medical Systems.

Event Text Entries

[70336833]
Patient Sequence No: 1, Text Type: N, H10


[70336834] Icu doctor reported: phillips pulse ox monitors are not providing oxygen saturation data that correlates with arterial blood gas oxyhemoglobin measurement/po2. As a result, patients are inadvertently being allowed to be hypoxemic and oxygen supplementation is not being appropriately titrated up. One day, the discrepancy between pulse ox (94-95%) and abg (73%) was seen and thought to be a fluke. The patient's oxygen was titrated up. Charge nurses were notified of monitor discrepancy. The next day, the morning abg revealed a o2hgb saturation of 73. 4% despite phillips pulse oximetry of 100%. Doctor discussed with the respiratory manager: rt manager advised that this problem had been identified as inaccurate pulse oximetry measurements by the phillips pulse oximetry units. According to respiratory manager, this problem had been identified previously and tracked/confirmed with concomitant arterial blood gas readings for masimo & phillips measurements and dictating that the philips pulse oximetry units have a larger margin of error compared to masimo.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number6416826
MDR Report Key6416826
Date Received2017-03-20
Date of Report2017-03-10
Date of Event2017-03-10
Report Date2017-03-10
Date Reported to FDA2017-03-10
Date Reported to Mfgr2017-03-10
Date Added to Maude2017-03-20
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePHILIPS
Generic NameTRANSMITTERS AND RECEIVERS, PHYSIOLOGICAL SIGNAL, RADIOFREQUENCY
Product CodeDXH
Date Received2017-03-20
Model NumberM3001A-68402
Catalog Number862442
ID Number453563486941
Device AvailabilityY
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 2017-03-20

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