FDA Adverse Event Malfunction Summary report: N

HEARTSTART MRX MONITOR/DEFIB

MDR report key: 18848255 · Received March 6, 2024

Report

Report Number
3030677-2024-00846
Event Type
Malfunction
Date Received
March 6, 2024
Date of Event
February 28, 2024
Manufacturer
PHILIPS NORTH AMERICA LLC
Product Code
MKJ
UDI-DI
00884838000018
PMA / PMN Number
K031187
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 0

PHILIPS RECEIVED A COMPLAINT ON THE MRX DEFIBRILLATOR INDICATING THAT THE DEVICE FAILS THE THERAPY DELIVERY TEST. THE SITE ENGINEER WORKING WITH THE RSE CONFIRMED THE DEVICE FAILS THE THERAPY DELIVERY TEST. THE DEVICE NEEDS A HIGH VOLTAGE CAPACITOR AND A THERAPY PRINTED CIRCUIT ASSEMBLY (PCA). HOWEVER, THE DEVICE IS END OF LIFE (EOL) SINCE 31 DECEMBER 2022 AND NO PARTS ARE AVAILABLE FROM PHILIPS. NO FURTHER ACTION AT THIS TIME. BASED ON THE INFORMATION AVAILABLE AND THE TESTING CONDUCTED, THE CAUSE OF THE REPORTED PROBLEM IS THE HIGH VOLTAGE CAPACITOR AND THE THERAPY PCA. THE REPORTED PROBLEM WAS CONFIRMED. THE EVALUATION INDICATES A PARTS ISSUE BUT SINCE THE DEVICE IS EOL NO PARTS FROM PHILIPS ARE AVAILABLE. IT HAS BEEN CONCLUDED THAT NO FURTHER ACTION IS REQUIRED AT THIS TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
165016 HEARTSTART MRX MONITOR/DEFIB DEFIBRILLATOR MKJ PHILIPS NORTH AMERICA LLC M3535A 00884838000018

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown