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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Philips Medizin Systeme Böblingen GmbH IntelliVue Patient Monitor MX500

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Philips Medizin Systeme Böblingen GmbH IntelliVue Patient Monitor MX500 Back to Search Results
Model Number IntelliVue Patient Monitor MX500
Medical Device Problem Code No Audible Alarm (1019)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 09/03/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that during a preventive maintenance the device did not produce any audible apnea alarm.The device was not in clinical use.There was no report of patient or user harm.
 
Additional Manufacturer Narrative
Analysis was performed by remote service personnel who reached out to the customer multiple times for more information but the customer refused to provide more information.No diagnostics could be performed due to customer not responding to multiple good faith effort attempts to to provide more information.The product malfunction was unable to be confirmed because the customer refused service and did not respond to requests for additional information.A review of the service history for this device shows the problem has not been reported again for this device.E1: reporting institution phone#: (b)(6).E1: reporter phone#: (b)(6).
 
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Brand Name
IntelliVue Patient Monitor MX500
Common Device Name
IntelliVue Patient Monitor MX500
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 Key50916307
Report Number9610816-2026-102035
Device Sequence Number17580813
Product Code MHX
UDI-Device Identifier00884838038776
UDI-Public(01)00884838038776
Combination Product (Y/N)N
Initial Reporter CountryCA
PMA/510(K) Number
K131872
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) 09/28/2026
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 Other
Device Model NumberIntelliVue Patient Monitor MX500
Device Catalogue Number866064
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 09/03/2026
Initial Report FDA Received Date09/28/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured12/08/2021
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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