| Brand Name | EXPRESSION MR400 MRI PATIENT MONITORING SYSTEM (MODEL MR400) |
| Common Device Name | MONITOR,PHYSIOLOGICAL,PATIENT(WITHOUT ARRHYTHMIA DETECTION OR ALARMS) |
| Manufacturer (Section D) |
| INVIVO, A DIVISION OF PHILIPS MEDICAL SYSTEMS |
| 12151 research parkway |
| orlando FL 32826 |
|
| Manufacturer (Section G) |
| INVIVO, A DIVISION OF PHILIPS MEDICAL SYSTEMS |
| 12151 research parkway |
|
| orlando FL 32826 |
|
| Manufacturer Contact |
|
deborah
currlin
|
| 12151 research parkway |
| orlando, FL 32826
|
|
4072753220
|
|
| MDR Report Key | 23465125 |
| Report Number | 1051786-2025-000014 |
| Device Sequence Number | 15682472 |
| Product Code |
MWI
|
| UDI-Device Identifier | 00884838039131 |
| UDI-Public | (01)00884838039131 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | JA |
| PMA/510(K) Number | K152330 |
| Number of Events Summarized | 1 |
| 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 |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
11/04/2025 |
| 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 Number | EXPRESSION MR400 MRI PATIENT MONITOR SYS |
| Device Catalogue Number | 866185 |
| 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 | 10/09/2025 |
| Initial Report FDA Received Date | 11/04/2025 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 03/14/2025 |
| 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 Number | 1 |
| Patient Sex | Unknown |