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U.S. Department of Health and Human Services

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

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PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH AVALON FETAL MONITOR FM20; SYSTEM, MONITORING, PERINATAL Back to Search Results
Model Number AVALON FM20 FETAL MONITOR
Medical Device Problem Code No Audible Alarm (1019)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/01/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Analysis was performed by onsite service personnel which included visual inspection and functional testing of the device.The results of the analysis indicate the volume had been turned off by the user.Based on the results of the analysis, the product was confirmed to be operating per specifications, and the cause of the reported problem was the volume setting was turned off.The issue was resolved by adjusting the volume setting.A review of the service history for this device shows the problem has not been reported again for this device.Based on the information available and results of additional analysis, no further action is necessary at this time.If additional information is received, the complaint file will be reopened for further investigation.
 
Event or Problem Description
Philips received a complaint on an avalon fm20 fetal monitor indicating there was an alarm and no audible sound coming from the speaker.The device was not in use on patient at time of event, there was no adverse event reported.
 
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Brand Name
AVALON FETAL MONITOR FM20
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 Key25014469
Report Number9610816-2026-100803
Device Sequence Number10302935
Product Code HGM
UDI-Device Identifier00884838000407
UDI-Public(01)00884838000407
Combination Product (Y/N)N
Initial Reporter CountryHK
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,User Facility
Initial Reporter Occupation Other
Type of Report Initial
Report Date (Section B) 04/28/2026
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 Other
Device Model NumberAVALON FM20 FETAL MONITOR
Device Catalogue Number862198
Was Device Available for Evaluation? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 04/01/2026
Initial Report FDA Received Date04/28/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured10/25/2022
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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