PHILIPS MEDICAL ANESTHESIA MONITOR, MULTI GAS M1019A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-03-30 for PHILIPS MEDICAL ANESTHESIA MONITOR, MULTI GAS M1019A manufactured by Philips North America Llc.

Event Text Entries

[185930791] Anesthesiologist reported the anesthesia machine had pump issues during a case. Fda safety report id# (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5093975
MDR Report Key9902954
Date Received2020-03-30
Date of Report2020-03-26
Date of Event2020-03-09
Date Added to Maude2020-03-31
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
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 MEDICAL ANESTHESIA MONITOR, MULTI GAS
Generic NameMONITOR, PHYSIOLOGICAL, PATIENT (WITH ARRHYTHMIA DETECTION OR ALARMS)
Product CodeMHX
Date Received2020-03-30
Model NumberM1019A
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerPHILIPS NORTH AMERICA LLC


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-03-30

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