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