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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH AVALON FM20 FETAL MONITOR; SYSTEM, MONITORING, PERINATAL

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PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH AVALON FM20 FETAL MONITOR; SYSTEM, MONITORING, PERINATAL Back to Search Results
Model Number AVALON FM20 FETAL MONITOR
Medical Device Problem Codes No Audible Alarm (1019); No Audible Prompt/Feedback (2282)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 10/23/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
E1; reporter institution phone number (b)(6).E1: reporter phone number (b)(6).The distributor performed the troubleshooting and determined that the speaker cable is faulty and must be replaced.A quote has been sent to purchase the part.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 there was error message "speaker malfunction" occurs.The device is in clinical use at time of event, no adverse event was reported.
 
Additional Manufacturer Narrative
The distributor spoked with the biomed and confirmed there was no sound.Some troubleshooting work was completed and determined that the speaker cable is faulty and must be replaced.The speaker needed to be replaced.A quote was sent to customer.Based on the information available cause of the reported problem was a faulty speaker cable.The reported problem was confirmed.Multiple attempts were made to obtain the device context of use, evaluation, repair, and operational status with no response from the customer and the quote expired.No further information was provided.A supplemental report will be submitted if new information is obtained.
 
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Brand Name
AVALON FM20 FETAL MONITOR
Common Device Name
SYSTEM, MONITORING, PERINATAL
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 Key23575985
Report Number9610816-2025-001078
Device Sequence Number9398545
Product Code HGM
UDI-Device Identifier00884838000407
UDI-Public(01)00884838000407
Combination Product (Y/N)N
Initial Reporter CountrySF
PMA/510(K) Number
K140535
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,Distributor
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 01/12/2026
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 NumberAVALON FM20 FETAL MONITOR
Device Catalogue NumberM2702A
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 10/23/2025
Supplement Date Received by Manufacturer01/02/2026
Initial Report FDA Received Date11/17/2025
Supplement Report FDA Received Date01/12/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured10/20/2022
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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