FDA Adverse Event
Malfunction
Summary report: N
TEMPUS LS-MANUAL
MDR report key: 19812365
·
Received July 23, 2024
Report
- Report Number
- 3003832357-2024-00562
- Event Type
- Malfunction
- Date Received
- July 23, 2024
- Date of Event
- July 16, 2024
- Report Date
- October 14, 2024
- Manufacturer
- SCHILLER AG
- Product Code
- LDD
- UDI-DI
- 07613365002737
- PMA / PMN Number
- K200849
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
IT HAS BEEN REPORTED THAT THE DEVICE IS EXPERIENCING A DPM HARDWARE FAULT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 965328 | TEMPUS LS-MANUAL | LOW ENERGY DEFIBRILLATOR | LDD | SCHILLER AG | 00-3020 | 07613365002737 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |