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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH PATIENT INFORMATION CENTER IX

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PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH PATIENT INFORMATION CENTER IX Back to Search Results
Model Number PATIENT INFORMATION CENTER IX
Medical Device Problem Code No Audible Alarm (1019)
Health Effect - Clinical Code Cardiac Arrest (1762)
Date of Event 03/16/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
Philips is in the process of obtaining additional information regarding the reported event and the investigation is ongoing.A follow-up report will be submitted upon completion of the investigation.E1: reporting institution phone#: (b)(6).E1: reporter phone#: (b)(6).
 
Event or Problem Description
It was reported, a bradycardia alarm had not been triggered on the monitor and the control panel.A delay in responding to cardiopulmonary arrest of a baby was reported.No other clinical information or medical intervention was reported; therefore, good faith efforts are being performed.
 
Additional Manufacturer Narrative
This report represents a duplicate of report with manufacturer report # 9610816-2026-100688.The supplemental/final report for the reported issue will be reported under # 9610816-2026-100688.
 
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Brand Name
PATIENT INFORMATION CENTER IX
Common Device Name
PATIENT INFORMATION CENTER IX
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 Key24686658
Report Number9610816-2026-100587
Device Sequence Number18636152
Product Code MHX
UDI-Device Identifier00884838104594
UDI-Public(01)00884838104594(10)4.1.0
Combination Product (Y/N)N
Initial Reporter CountryFR
PMA/510(K) Number
K211900
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
Report Date (Section B) 04/15/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Operator of Device Health Professional
Device Model NumberPATIENT INFORMATION CENTER IX
Device Catalogue Number866389
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 03/16/2026
Supplement Date Received by Manufacturer04/07/2026
Initial Report FDA Received Date03/25/2026
Supplement Report FDA Received Date04/15/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured05/05/2023
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
Outcome Attributed to Adverse Event Life Threatening;
Patient SexUnknown
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