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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: GUANGDONG TRANSTEK MEDICAL ELECTRONICS CO.,LTD PHILIPS WRIST BLOOD PRESSURE MONITOR

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GUANGDONG TRANSTEK MEDICAL ELECTRONICS CO.,LTD PHILIPS WRIST BLOOD PRESSURE MONITOR Back to Search Results
Model Number DL8765
Device Problem Invalid Sensing (2293)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Type  malfunction  
Manufacturer Narrative
Our importer (b)(4) (initial reporter of this event) couldn't get the details of the consumer and device information, confirmed that the device was not returned for analysis, thus no further technical investigation is possible.
 
Event Description
The consumer claims that the device was showing wrong values.The specific details, such as users' physical condition, the serial number of this sample, these are not clear.
 
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Brand Name
PHILIPS WRIST BLOOD PRESSURE MONITOR
Type of Device
BLOOD PRESSURE MONITOR
Manufacturer (Section D)
GUANGDONG TRANSTEK MEDICAL ELECTRONICS CO.,LTD
zone b, no.105 ,dongli road,
torch development district
zhongshan, guangdong 52843 7
CH  528437
Manufacturer (Section G)
GUANGDONG TRANSTEK MEDICAL ELECTRONICS CO.,LTD
zone b, no.105 ,dongli road,
torch development district
zhongshan, guangdong 52843 7
CH   528437
Manufacturer Contact
ada zhang
zone b, no.105 ,dongli road,
torch development district
zhongshan, guangdong 52843-7
CH   528437
MDR Report Key6791403
MDR Text Key82821768
Report Number3011420269-2017-00003
Device Sequence Number1
Product Code DXN
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K123669
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign
Reporter Occupation Other
Type of Report Initial
Report Date 08/10/2017
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
Device Operator No Information
Device Model NumberDL8765
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 07/31/2017
Initial Date FDA Received08/14/2017
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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