BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HEART START XL

    MDR report key: 1833485 · Received September 8, 2010

    Report

    Report Number
    1218950-2010-01518
    Event Type
    Malfunction
    Date Received
    September 8, 2010
    Report Date
    August 9, 2010
    Manufacturer
    PHILIPS HEALTHCARE
    Product Code
    MKJ
    PMA / PMN Number
    K001725
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KY, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4): THE CUSTOMER REPORTED THAT THE UNIT FAILED TO POWER UP ON BATTERY POWER. THE UNIT WAS EVALUATED AT PHILIPS, BUT THE REPORTED FAILURE COULD NOT BE DUPLICATED. THE UNIT PASSED ALL POST-SERVICING TESTING AND WAS RETURNED TO THE CUSTOMER SITE. WE ARE CONSIDERING THIS FAILURE A MALFUNCTION. AS THE FAILURE COULD NOT BE DUPLICATED, WE CANNOT DETERMINE THE CAUSE.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE UNIT FAILED TO POWER UP ON BATTERY POWER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HEART START XL MKJ PHILIPS HEALTHCARE M4735A

    Patients

    Seq Age Sex Outcome Treatment
    1