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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 No Audible Prompt/Feedback (2282)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/07/2023
Type of Reportable Event Malfunction
Event or Problem Description
It was reported the device indicates a speaker malfunction error.It is unknown if there was sound being emitted from the device.The device was in clinical use at the time of the event, no adverse event or patient harm was reported.
 
Additional Manufacturer Narrative
Philips is in the process of obtaining additional information and the complaint is still under investigation.A follow-up report will be submitted upon completion of the investigation.
 
Additional Manufacturer Narrative
The device was sent to a philips authorized repair facility for evaluation.A philips bench repair technician (brt) evaluated the device and confirmed the speaker malfunction.The faulty speaker was replaced, and the device was returned to the customer site.
 
Additional Manufacturer Narrative
D4 data correction to device identifier product udi.
 
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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 Key18345252
Report Number9610816-2023-00659
Device Sequence Number17697754
Product Code DSI
UDI-Device Identifier00884838029088
UDI-Public(01)00884838029088(21)DE71169099
Combination Product (Y/N)N
Initial Reporter StateOR
Initial Reporter CountryUS
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 Health Professional,User Facility
Initial Reporter Occupation Biomedical Engineer
Type of Report Initial,Followup,Followup
Report Date (Section B) 07/17/2024
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? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 12/07/2023
Supplement Date Received by Manufacturer12/20/2023
07/08/2024
Initial Report FDA Received Date12/18/2023
Supplement Report FDA Received Date01/18/2024
07/16/2024
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured10/01/2023
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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