FDA Adverse Event
Malfunction
Summary report: N
FR3 DEFIB, ECG US ENGLISH (T) EXCHANGE
MDR report key: 11992571
·
Received June 14, 2021
Report
- Report Number
- 3030677-2021-12186
- Event Type
- Malfunction
- Date Received
- June 14, 2021
- Manufacturer
- PHILIPS NORTH AMERICA LLC
- Product Code
- MKJ
- UDI-DI
- 00884838049994
- PMA / PMN Number
- P160028
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NC, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT HAS BEEN REPORTED THAT THE DEVICE IS DRAINING BATTERIES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 890274 | FR3 DEFIB, ECG US ENGLISH (T) EXCHANGE | AED | MKJ | PHILIPS NORTH AMERICA LLC | 861389 | 00884838049994 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |