FDA Adverse Event Malfunction Summary report: N

NONE

MDR report key: 1193487 · Received October 8, 2008

Report

Report Number
1218950-2008-00540
Event Type
Malfunction
Date Received
October 8, 2008
Report Date
September 9, 2008
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
MKJ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER REPORTED THAT THE UNIT FAILED THE DEFIB TEST PORTION OF THE OPCHECK. THE UNIT WAS RETURNED TO PHILLIPS FOR EVALUATION, AND THE REPORTED FAILURE WAS VERIFIED. REPLACEMENT OF THE THERAPY PCA RESOLVED THIS ISSUE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE UNIT FAILED THE DEFIB TEST PORTION OF THE OPCHECK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NONE MKJ PHILIPS MEDICAL SYSTEMS

Patients

Seq Age Sex Outcome Treatment
1