FDA Adverse Event Malfunction Summary report: N

LIFEPAK 9P DEFIBRILLATOR/MONITOR/PACEMAKER

MDR report key: 1052210 · Received May 21, 2008

Report

Report Number
3015876-2008-00521
Event Type
Malfunction
Date Received
May 21, 2008
Date of Event
April 24, 2008
Report Date
April 24, 2008
Manufacturer
PHYSIO-CONTROL, INC.
Product Code
LDD
PMA / PMN Number
K902288
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PHYSIO-CONTROL SUPPLIED PART INFO FOR POWER CONVERSION PCB ASSEMBLY REPAIR KIT TO CUSTOMER FOR REPAIR.

Description of Event or Problem · 1

ACCORDING TO THE REPORTER, THE DEVICE WON'T STAY POWERED UP. THERE WERE NO REPORTS OF ANY ADVERSE EVENTS AS A RESULT OF THE DEVICE USE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LIFEPAK 9P DEFIBRILLATOR/MONITOR/PACEMAKER LDD PHYSIO-CONTROL, INC. 9P NA

Patients

Seq Age Sex Outcome Treatment
1 NA