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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PHILIPS MEDICAL SYSTEMS PATIENT INFORMATION CENTER IX

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PHILIPS MEDICAL SYSTEMS PATIENT INFORMATION CENTER IX Back to Search Results
Model Number 866389
Device Problem Power Problem (3010)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 03/22/2024
Event Type  malfunction  
Event Description
It was reported the uninterruptible power supply (ups) that power the central patient monitoring have failed across the hospital.It is unknown if the device was in clinical use at the time of the event, no adverse event or patient harm was reported.
 
Manufacturer Narrative
Philips has issued a field safety notification which recommends that ups devices intended for operation in network and server rooms be kept in a temperature and humidity controlled environment, ensuring adequate airflow around the ups to prevent ups device failure.A field change order (fco) is in the process of being released.A philips representative will contact affected customers to schedule a visit from a philips field service engineer who will replace the malfunctioning ups.Based on the information available the cause of the reported problem was a failure of the 120v uninterruptable power supply.The reported problem was confirmed.Based on the information available and results of additional analysis further action has been initiated.The investigation concludes that no further action is required at this time.
 
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Brand Name
PATIENT INFORMATION CENTER IX
Type of Device
PATIENT INFORMATION CENTER IX
Manufacturer (Section D)
PHILIPS MEDICAL SYSTEMS
3000 minuteman rd
andover MA 01810
Manufacturer (Section G)
PHILIPS MEDICAL SYSTEMS
3000 minuteman rd
andover MA 01810
Manufacturer Contact
hisham alzayat
3000 minuteman rd
andover, MA 01810
6172455900
MDR Report Key19126973
MDR Text Key341128148
Report Number1218950-2024-00268
Device Sequence Number1
Product Code MHX
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K153702
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional,User Facility,Company Representative
Reporter Occupation Other Health Care Professional
Type of Report Initial
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 Operator Health Professional
Device Model Number866389
Device Catalogue Number866389
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 03/26/2024
Initial Date FDA Received04/17/2024
Was Device Evaluated by Manufacturer? Yes
Is the Device Single Use? No
Type of Device Usage Reuse
Patient Sequence Number1
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