PHILIPS DIGITRAK XT HOLTER SYSTEM 860322

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-01-08 for PHILIPS DIGITRAK XT HOLTER SYSTEM 860322 manufactured by Philips North America Llc.

Event Text Entries

[175049254] Situation: holter monitors are displaying "error code 602" when power is applied by either docking station or battery. This is unrecoverable error which render the device unusable. Background: spoke to a support rep with philips, he explained the issue that we are seeing is similar to the y2k issues where the date did not roll correctly. In our case, the year change from 2010 to 2020 did not happen on the holter monitors. Assessment: he has advised that there is currently "no workaround" and he does not have an eta for revolution. He stated that the philips r&d dept and engineering team is working on the issue and when a solution has been created, philips will be sending us a formal notification on how to resolve. We believe the resolution will be in the form of a firmware update which all the philips monitors will need to be updated. We are hoping this can be done as a server side push but worse case we will need to touch each one individually, which will require pulling back all the monitors and it working with clinical engineering to update firmware. We have asked for a daily status update so that we know how to plan for the work needing to be done and actual time to bring the system back up. Resolution: none at this time. Statement from philips: we want to bring to your attention an issue with the philips digitrak xt holter recorder (model 860322), philips has confirmed that - beginning on (b)(6) 2020 - if a battery is inserted in the recorder and a user attempts to start it, or if the recorder is inserted in the docking station, the recorder will display "error: 602" and fail to function further. At this time, there is no action that the user or philips service can take to clear this error. Philips has determined that an issue with the firmware results in an abnormal device behavior associated with the recorder's internal rest-time clock. This manifests itself when the year rolls over from 2019 to 2020. It affects all digitrak xt holter recorders, but no other philips system or device. Immediately upon learning of this issue at the beginning of (b)(6), philips began to work on a solution, dedicating both internal and external resources. That high priority effort continues. We will communicate with you as soon as a solution has been confirmed. By no later than friday, (b)(6), philips will provide an update and guidance. Regrettably, until then, your digitrak xt holter recorders cannot be restarted. Philips sincerely apologizes for the inconvenience this situation has caused. If you have any questions regarding this incident, please contact the customer care solution center at (b)(4). Inoperable monitors. Fda safety report id# (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5092140
MDR Report Key9570597
Date Received2020-01-08
Date of Report2020-01-07
Date of Event2020-01-01
Date Added to Maude2020-01-09
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationUNKNOWN
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 DIGITRAK XT HOLTER SYSTEM
Generic NameELECTROCARDIOGRAPH, AMBULATORY (WITHOUT ANALYSIS)
Product CodeMWJ
Date Received2020-01-08
Model Number860322
Catalog Number860322
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerPHILIPS NORTH AMERICA LLC


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-01-08

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