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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH INTELLIVUE MX700 PATIENT MONITOR

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PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH INTELLIVUE MX700 PATIENT MONITOR Back to Search Results
Model Number 865241
Medical Device Problem Code Device Alarm System (1012)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/10/2023
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
(b)(6).Philips is in the process of obtaining additional information concerning this event and the complaint is still under investigation.A final report will be submitted once the investigation is complete.
 
Event or Problem Description
The customer reported that the invasive blood pressure (ibp) alarms reset themselves to "off" on the intellivue mx700 patient monitor despite being enabled in the settings.It is unknown if the device was in use monitoring a patient at the time of the reported issue.No adverse patient event was reported.
 
Additional Manufacturer Narrative
Philips received a complaint on the intellivue mx700 patient monitor indicating that the invasive blood pressure (ibp) alarms were automatically reset to off-alarm status, despite being enabled in the settings.The following functional tests were performed: a field service engineer (fse) went onsite and was unable to observe any problem.The fse retrieved the monitor logs and found no anomalies.The fse also carried out alarm testing, but everything was working correctly.It was requested that the customer provide a specific example of the problem (time, patient, etc.) from the medical staff in order to better analyze it.The customer will contact philips if the problem arises again in order to recover the logs on the control unit.The customer has already requested training for the staff.Based on the information available and the testing conducted, the fse was unable to replicate the reported problem.The reported problem was not confirmed.The device was confirmed to be operating per specifications and no failure was identified.The investigation concludes that no further action is required at this time.If additional information is received the complaint file will be reopened.The device remains at the customer site.
 
Additional Manufacturer Narrative
D4: product udi - the manufacturing date for the reported device is prior to 24sept2016.
 
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Brand Name
INTELLIVUE MX700 PATIENT MONITOR
Common Device Name
INTELLIVUE MX700 PATIENT 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
70314632031
MDR Report Key18180661
Report Number9610816-2023-00610
Device Sequence Number18064225
Product Code DSI
UDI-Device Identifier00884838029088
UDI-Public00884838029088
Combination Product (Y/N)N
Initial Reporter CountryFR
PMA/510(K) Number
K150310
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,User Facility
Initial Reporter Occupation Biomedical Engineer
Type of Report Initial,Followup,Followup
Report Date (Section B) 07/16/2024
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
Operator of Device Health Professional
Device Model Number865241
Device Catalogue Number865241
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 11/10/2023
Supplement Date Received by Manufacturer12/04/2023
07/08/2024
Initial Report FDA Received Date11/21/2023
Supplement Report FDA Received Date12/20/2023
07/16/2024
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured08/29/2012
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
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