FDA Adverse Event
Malfunction
Summary report: N
FR3
MDR report key: 11228775
·
Received January 26, 2021
Report
- Report Number
- 3030677-2021-00161
- Event Type
- Malfunction
- Date Received
- January 26, 2021
- Report Date
- July 6, 2021
- Manufacturer
- PHILIPS NORTH AMERICA
- Product Code
- MKJ
- UDI-DI
- 00884838049994
- PMA / PMN Number
- P160028
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 0
IT HAS BEEN REPORTED THAT THE DEVICE SPEAKERS ARE NOT FUNCTIONING PROPERLY.
Description of Event or Problem · 1
IT HAS BEEN REPORTED THAT THE DEVICE SPEAKERS ARE NOT FUNCTIONING PROPERLY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 130275 | FR3 | AED | MKJ | PHILIPS NORTH AMERICA | 861389 | 00884838049994 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |