FDA Adverse Event
Malfunction
Summary report: N
LIFEPAK CR PLUS DEFIBRILLATOR
MDR report key: 1193125
·
Received October 7, 2008
Report
- Report Number
- 3015876-2008-01464
- Event Type
- Malfunction
- Date Received
- October 7, 2008
- Date of Event
- September 8, 2008
- Report Date
- September 8, 2008
- Manufacturer
- PHYSIO-CONTROL, INC.
- Product Code
- MKJ
- PMA / PMN Number
- K011144
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
PHYSIO-CONTROL CONTINUES TO INVESTIGATE THE REPORTED FAILURE.
Description of Event or Problem · 1
PHYSIO-CONTROL IS INVESTIGATING REPORTS WHERE THE CONTACT PINS ON THE 3201102-010 FLEX ASSEMBLY FOR THE CR PLUS/EXPRESS WAS MISALIGNED DURING ASSEMBLY. THIS FAILURE COULD CAUSE THE DEVICE TO INTERMITTENTLY TURN ITSELF ON AND OFF. THERE WAS NO PATIENT USE ASSOCIATED WITH THE REPORTED EVENT.
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 |