| Brand Name | Xper Flex Cardio Physiomonitoring System |
| Common Device Name | Monitor, Physiological, Patient (Without Arrhythmia Detection Or Alarms) |
| Manufacturer (Section D) |
| Philips Medical Systems |
| 3000 minuteman rd |
| andover MA 01810 |
|
| Manufacturer (Section G) |
| Philips Medical Systems |
| 3000 minuteman rd |
|
| andover MA 01810 |
|
| Manufacturer Contact |
|
deborah
currlin
|
| 12151 research parkway |
| orlando, FL 32826
|
|
+1(407)275-3220
|
|
| MDR Report Key | 50868930 |
| Report Number | 1051786-2026-100066 |
| Device Sequence Number | 16124950 |
| Product Code |
MWI
|
| UDI-Device Identifier | 00884838093645 |
| UDI-Public | (01)00884838093645 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | GM |
| PMA/510(K) Number | K101571 |
| Number of Events Summarized | 1 |
| 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 |
Nurse
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/23/2026 |
| 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 | Xper Flex Cardio 2010 Rev E |
| Device Catalogue Number | 453564845831 |
| 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 | 08/28/2026 |
| Initial Report FDA Received Date | 09/23/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 07/13/2020 |
| 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 |