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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; MONITOR, PHYSIOLOGICAL, PATIENT(WITH ARRHYTHMIA DETECTION OR ALARMS)

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PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH PATIENT INFORMATION CENTER IX; MONITOR, PHYSIOLOGICAL, PATIENT(WITH ARRHYTHMIA DETECTION OR ALARMS) Back to Search Results
Model Number 4.4
Medical Device Problem Code No Audible Alarm (1019)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/19/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
A philips remote service engineer (rse) reviewed the information and logs provided.The logs indicated that a red alarm was generated for ventricular tachycardia (vtach) by the bedside monitor and received at the central station and was also delivered/read on a smartphone.The logs also indicate that the alarm only lasted a second and ended due to alarms not being latched.The rse determined that the device was functioning as expected/configured.Based on the results of the analysis, the product was confirmed to be operating per specifications.An explanation of the alarm findings was provided to the customer.Reporter and reporting institution phone # (b)(6).
 
Event or Problem Description
It was reported that there was no audible signal from the central station regarding a ventricular tachycardia (vtach) event.The device was in use on a patient at the time of the event.There was no adverse event reported.
 
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Brand Name
PATIENT INFORMATION CENTER IX
Common Device Name
MONITOR, PHYSIOLOGICAL, PATIENT(WITH ARRHYTHMIA DETECTION OR ALARMS)
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 Key25319048
Report Number9610816-2026-101048
Device Sequence Number5368659
Product Code MHX
UDI-Device Identifier00884838127067
UDI-Public(01)00884838127067(10)4.4.5.0
Combination Product (Y/N)N
Initial Reporter CountryNL
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
Report Date (Section B) 05/28/2026
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 Health Professional
Device Model Number4.4
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 05/04/2026
Initial Report FDA Received Date05/28/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured08/25/2025
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 Number1
Patient SexUnknown
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