FDA Adverse Event Malfunction Summary report: N

LIFEPAK CR PLUS DEFIBRILLATOR

MDR report key: 1112136 · Received August 6, 2008

Report

Report Number
3015876-2008-00871
Event Type
Malfunction
Date Received
August 6, 2008
Date of Event
May 12, 2008
Report Date
May 19, 2008
Manufacturer
PHYSIO-CONTROL, INC.
Product Code
MKJ
PMA / PMN Number
K011144
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PHYSIO-CONTROL IS INVESTIGATING THE REPORTED EVENT.

Description of Event or Problem · 1

PHYSIO-CONTROL WAS PERFORMING AN EVAL OF A CUSTOMER RETURNED DEVICE. A REVIEW OF THE DEVIC'S DATA DOWNLOAD SHOWS INDICATIONS THAT DEVICE OPERATION LOCKED UP DURING THE 3:00 AM SELFTEST IN 2008, AND SUBSEQUENTLY DEPLETED THE DEVICE'S INTERNAL BATTERY AND THE CHARGE-PAK BATTERY CHARGER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LIFEPAK CR PLUS DEFIBRILLATOR MKJ PHYSIO-CONTROL, INC. CRPLUS NA

Patients

Seq Age Sex Outcome Treatment
1 NA