PHILIPS HEALTHCARE MONITOR INTELLIVUE MMS M3001A A04

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-01-14 for PHILIPS HEALTHCARE MONITOR INTELLIVUE MMS M3001A A04 manufactured by Philips Healthcare / Philips Medizin Systems Boeblingen Gmbh.

Event Text Entries

[175480096] Philips m3001a a04 mms unable to provide spo2 value, especially on low-perfusion / compromised pts. Malfunction is not limited to one device. Multiple troubleshooting has occurred, and anticipate a software / hardware problem with the a04 configuration. Previous a02 configuration did not have the same malfunction. Fda safety report id# (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5092238
MDR Report Key9592144
Date Received2020-01-14
Date of Report2020-01-10
Date of Event2019-12-24
Date Added to Maude2020-01-15
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
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 NamePHILIPS HEALTHCARE MONITOR
Generic NameMONITOR, PHYSIOLOGICAL, PATIENT (WITH ARRHYTHMIA DETECTION OR ALARMS
Product CodeMWI
Date Received2020-01-14
Model NumberINTELLIVUE MMS
Catalog NumberM3001A A04
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerPHILIPS HEALTHCARE / PHILIPS MEDIZIN SYSTEMS BOEBLINGEN GMBH
Manufacturer AddressBOTHELL WA 9021 US 9021


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-01-14

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