| Brand Name | INTELLISPACE CARDIOVASCULAR |
| Common Device Name | CARDIOVASCULAR IMAGE AND INFORMATION MANAGEMENT SYSTEM |
| Manufacturer (Section D) |
| PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. |
| veenpluis 6 |
| best 5684 PC |
| NL 5684 PC |
|
| Manufacturer (Section G) |
| PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. |
| veenpluis 6 |
|
| best 5684 PC |
|
NL
5684 PC
|
|
| Manufacturer Contact |
|
edita
reznik-shmueli
|
| veenpluis 6 |
| best 5684 -PC
|
|
NL
5684 PC
|
|
| MDR Report Key | 24794206 |
| Report Number | 3003768277-2026-101039 |
| Device Sequence Number | 18344451 |
| Product Code |
LLZ
|
| UDI-Device Identifier | 00884838095250 |
| UDI-Public | (01)00884838095250(11)191207(10)4.2.1.0 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | EI |
| PMA/510(K) Number | K153022 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,User Facility,Company Representative |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
04/06/2026 |
| 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
|
| Device Model Number | INTELLISPACE CARDIOVASCULAR |
| Device Catalogue Number | 830089 |
| Was Device Available for Evaluation? |
Yes
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Initial |
| Initial Date Received by Manufacturer | 04/24/2025 |
| Initial Report FDA Received Date | 04/06/2026 |
| Is the Device Labeled for Single Use? (Y/N) |
No
|
| Usage of Device |
A
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |