Brand Name | INTELLIVUE MX700 PATIENT MONITOR |
Type of Device | INTELLIVUE MX700 PATIENT MONITOR |
Manufacturer (Section D) |
PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH |
hewlett-packard-str. 2, |
b1-3/d6 |
boblingen 71034 |
GM 71034 |
|
MDR Report Key | 12148990 |
MDR Text Key | 260938443 |
Report Number | 9610816-2021-10216 |
Device Sequence Number | 1 |
Product Code |
DSI
|
UDI-Device Identifier | 00884838029088 |
UDI-Public | 00884838029088 |
Combination Product (y/n) | N |
PMA/PMN Number | K150310 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
foreign,health professional,u |
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 Operator |
Health Professional
|
Device Model Number | 865241 |
Device Catalogue Number | 865241 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 07/05/2021 |
Distributor Facility Aware Date | 07/02/2021 |
Initial Date Manufacturer Received |
07/02/2021 |
Initial Date FDA Received | 07/12/2021 |
Supplement Dates Manufacturer Received | 07/02/2021
|
Supplement Dates FDA Received | 10/04/2021
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Patient Sequence Number | 1 |
|
|