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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH EARLYVUE VS30 VITAL SIGNS MONITOR

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PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH EARLYVUE VS30 VITAL SIGNS MONITOR Back to Search Results
Model Number 863359
Device Problem No Audible Prompt/Feedback (2282)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 03/22/2023
Event Type  malfunction  
Manufacturer Narrative
A follow up report will be submitted upon completion of the investigation.Reporting institution phone #: (b)(6).Reporter phone #: (b)(6).
 
Event Description
The customer reported the earlyvue vs30 vital signs monitor displays a speaker malfunction.The presence of audio is not confirmed.Patient involvement is unknown.There was no report of patient or user harm.
 
Manufacturer Narrative
During investigation the reported problem turned out to be not reportable.Despite the speaker malfunction inop error message was displayed it was confirmed that the device still had sound.A speaker malf inop was reported as a visual message.The presence of a visual inop indicating that the speaker has malfunctioned when audio is confirmed to be operational and sound is provided is not likely to lead to harm as alarms continue to be annunciated.
 
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Brand Name
EARLYVUE VS30 VITAL SIGNS MONITOR
Type of Device
EARLYVUE VS30 VITAL SIGNS MONITOR
Manufacturer (Section D)
PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH
hewlett-packard-str. 2,
b1-3/d6
boblingen 71034
GM  71034
Manufacturer (Section G)
PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH
hewlett-packard-str. 2,
b1-3/d6
boblingen 71034
GM   71034
Manufacturer Contact
hauke schik
hewlett-packard-str. 2,
b1-3/d6
boblingen 71034
GM   71034
7031463203
MDR Report Key16644817
MDR Text Key312366044
Report Number1218950-2023-00171
Device Sequence Number1
Product Code DSJ
UDI-Device Identifier00884838091412
UDI-Public00884838091412
Combination Product (y/n)N
Reporter Country CodeFR
PMA/PMN Number
K190624
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,User Facility
Reporter Occupation Other
Type of Report Initial,Followup
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Model Number863359
Device Catalogue Number863359
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 03/22/2023
Initial Date FDA Received03/30/2023
Supplement Dates Manufacturer Received04/12/2023
Supplement Dates FDA Received05/09/2023
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
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