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Philips received a complaint regarding an intellivue mx40 1.4 ghz smart-hopping telemetry device indicating that, during preventive maintenance testing, the displayed spo2 values were observed to fluctuate significantly and inconsistently, with readings varying from the 60% range to the low 90% range.No patient involvement was reported at the time the issue was identified.
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The device evaluation identified intermittent poor link quality between the mx40 telemetry device and the patient information center (pic), resulting in lagging of readings transmitted to the pic.Investigation found fuzzy debris on the kapton tape installed on the radio board and slight damage to the antenna.Both contamination on radio-frequency components and antenna damage can adversely affect wireless communication performance and signal quality.Degraded wireless communication may result in delayed, intermittent, or inconsistent transmission of physiological data to the central monitoring system, which could manifest as fluctuating or unstable displayed spo2 readings at the pic.Based on the product analysis findings, the intermittent poor rf link quality, potentially caused by the debris present on the radio board area and the slight antenna damage, could have contributed to the customer's observation of spo2 values intermittently fluctuating between the 60s and low 90s due to delays or inconsistencies in the transmission of patient data to the pic.However, the product analysis did not establish that the device itself was generating inaccurate spo2 measurements; rather, the findings suggest a communication-related issue affecting the display of readings at the central station.The radio board and antenna were replaced and the device was returned to the customer.
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