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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

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Philips Medizin Systeme Böblingen GmbH Patient Information Center iX Back to Search Results
Model Number Patient Information Center iX
Medical Device Problem Code Defective Alarm (1014)
Health Effect - Clinical Codes Cardiac Arrest (1762); Insufficient Information (4580)
Date of Event 09/02/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that the user requested assistance in retrieving logs following the device's failure to alarm for a cardiac arrest.No other clinical information or medical intervention was reported; therefore, good faith efforts are being performed.
 
Additional Manufacturer Narrative
Philips is in process of obtaining additional information.A follow-up report will be submitted upon completion of the investigation.E1: (b)(6).
 
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Brand Name
Patient Information Center iX
Common Device Name
Patient Information Center iX
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 Key50943068
Report Number9610816-2026-102043
Device Sequence Number10451897
Product Code MHX
UDI-Device Identifier00884838121782
UDI-Public(01)00884838121782(10)4.2.2.0
Combination Product (Y/N)N
Initial Reporter CountryFR
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 Foreign,Health Professional,User Facility
Initial Reporter Occupation Biomedical Engineer
Type of Report Initial
Report Date (Section B) 09/30/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Operator of Device Health Professional
Device Model NumberPatient Information Center iX
Device Catalogue Number866389
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/02/2026
Initial Report FDA Received Date09/30/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured11/29/2023
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
Outcome Attributed to Adverse Event Life Threatening;
Patient SexUnknown
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