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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 Patient Information Center iX
Medical Device Problem Code Patient Data Problem (3197)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/17/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that patient information for room 3 was displayed on the telemetry box associated with room 4.Additionally, the central monitoring station intermittently displayed incorrect patient data.The device was reported to be in clinical use.No adverse event to the patient or user was reported.
 
Additional Manufacturer Narrative
The customer cancelled the case indicating that service is no longer required; the issue corrected on its own.Philips is in the process of obtaining additional information concerning this event and the complaint is still under investigation.A final report will be submitted once the investigation is complete.
 
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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
+49(703)14632031
MDR Report Key50786947
Report Number9610816-2026-101919
Device Sequence Number10510293
Product Code MHX
UDI-Device Identifier00884838122772
UDI-Public(01)00884838122772(10)4.3.8.0
Combination Product (Y/N)N
Initial Reporter StateNH
Initial Reporter CountryUS
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 User Facility
Type of Report Initial
Report Date (Section B) 09/16/2026
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 NumberPatient Information Center iX
Device Catalogue Number866389
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 08/17/2026
Initial Report FDA Received Date09/16/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured06/06/2025
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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