FDA Adverse Event Malfunction Summary report: N

LIFEPAK 20 DEFIBRILLATOR/MONITOR

MDR report key: 1070827 · Received July 3, 2008

Report

Report Number
3015876-2008-00746
Event Type
Malfunction
Date Received
July 3, 2008
Date of Event
June 6, 2008
Report Date
June 6, 2008
Manufacturer
PHYSIO-CONTROL, INC.
Product Code
LDD
PMA / PMN Number
K012274
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

PHYSIO-CONTROL EVALUATED THE DEVICE AND VERIFIED THAT THE FAILURE LOCATION WAS THE SYSTEM PCB. A SOFTWARE UPDATE WAS THEN INSTALLED, WHICH CORRECTED THE PROBLEM. THE DEVICE WAS RETURNED TO THE CUSTOMER FOR USE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE DEVICE WOULD TAKE MORE THAN 30 SECONDS TO CHARGE. THERE WAS NO PATIENT USE ASSOCIATED WITH THIS INCIDENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LIFEPAK 20 DEFIBRILLATOR/MONITOR LDD PHYSIO-CONTROL, INC. 20 NA

Patients

Seq Age Sex Outcome Treatment
1 NA