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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PHILIPS MEDICAL SYSTEMS MX40 1.4 GHZ SMART HOPPING

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PHILIPS MEDICAL SYSTEMS MX40 1.4 GHZ SMART HOPPING Back to Search Results
Model Number 865350
Device Problems No Audible Prompt/Feedback (2282); Defective Component (2292)
Patient Problem No Patient Involvement (2645)
Event Type  malfunction  
Event Description
The customer reported a speaker inop.During evaluation, the bench repair technician found no audio/no sound on the mx40 telemetry device.No patient involvement.
 
Manufacturer Narrative
This record was reported in error.It has been identified as a duplicate of manufacturers report #1218950-2020-04453.Submission of a report does not constitute an admission that medical personnel, user facility, importer, distributor, manufacturer, or product caused or contributed to the event.
 
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Brand Name
MX40 1.4 GHZ SMART HOPPING
Type of Device
MX40 1.4 GHZ SMART HOPPING
Manufacturer (Section D)
PHILIPS MEDICAL SYSTEMS
3000 minuteman road
andover MA 01810
MDR Report Key10437624
MDR Text Key204514783
Report Number1218950-2020-04852
Device Sequence Number1
Product Code DSI
Combination Product (y/n)N
PMA/PMN Number
K113125
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type user facility
Type of Report Initial,Followup
Report Date 08/15/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/21/2020
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model Number865350
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer07/28/2020
Was the Report Sent to FDA? No
Date Manufacturer Received08/15/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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