BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HEARTSTART MRX

    MDR report key: 2150404 · Received June 8, 2011

    Report

    Report Number
    1218950-2011-01618
    Event Type
    Malfunction
    Date Received
    June 8, 2011
    Report Date
    May 11, 2011
    Manufacturer
    PHILIPS HEALTHCARE
    Product Code
    MKJ
    PMA / PMN Number
    K031187
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NH, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). THE CUSTOMER REPORTED THAT THE POWER LED WAS NOT LIT AND THE DEVICE FAILED TO CHARGE THE BATTERY. THERE WAS NO REPORT OF PT INVOLVEMENT. THE UNIT WAS EVALUATED AT PHILIPS AND THE FAILURE WAS VERIFIED. IT WAS FURTHER CLARIFIED THAT THE UNIT FAILED TO POWER UP. REPLACEMENT OF THE POWER PCA RESOLVED THE FAILURE. THE UNIT PASSED ALL POST-SERVICING TESTING AND WAS SHIPPED BACK TO THE CUSTOMER SITE.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE POWER LED WAS NOT LIT AND THE DEVICE FAILED TO CHARGE THE BATTERY. THERE WAS NO REPORT OF PT INVOLVEMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HEARTSTART MRX MKJ PHILIPS HEALTHCARE M3535A

    Patients

    Seq Age Sex Outcome Treatment
    1