| Brand Name | Expression MR400 MRI Patient Monitoring System (Model MR400) |
| Common Device Name | Expression Patient Monitor (MR400) |
| Manufacturer (Section D) |
| Invivo, a division of Philips Medical Systems |
| 12151 research parkway |
| orlando FL 32826 |
|
| Manufacturer (Section G) |
| Invivo, a division of Philips Medical Systems |
| 12151 research parkway |
|
| orlando FL 32826 |
|
| Manufacturer Contact |
|
deborah
currlin
|
| 12151 research parkway |
| orlando, FL 32826
|
|
+1(407)275-3220
|
|
| MDR Report Key | 50547375 |
| Report Number | 1051786-2026-100058 |
| Device Sequence Number | 10376305 |
| Product Code |
MWI
|
| UDI-Device Identifier | 00884838039131 |
| UDI-Public | (01)00884838039131 |
| Combination Product (Y/N) | N |
| Initial Reporter State | MA |
| Initial Reporter Country | US |
| PMA/510(K) Number | K152330 |
| 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 |
| Initial Reporter Occupation |
Biomedical Engineer
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/01/2026 |
| 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 Number | Expression MR400 MRI Patient Monitor Sys |
| Device Catalogue Number | 866185 |
| Was Device Available for Evaluation? |
Yes
|
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 08/05/2026 |
| Initial Report FDA Received Date | 09/01/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 01/15/2020 |
| 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 Number | 1 |
| Patient Sex | Unknown |