BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HEARTSTART MRX

    MDR report key: 2200821 · Received June 30, 2011

    Report

    Report Number
    1218950-2011-01861
    Event Type
    Malfunction
    Date Received
    June 30, 2011
    Report Date
    June 1, 2011
    Manufacturer
    PHILIPS HEALTHCARE - ANDOVER
    Product Code
    MKJ
    PMA / PMN Number
    K031187
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). THE CUSTOMER REPORTED THE DEVICE WOULD HANG OR LOCK UP IN POWER UP MODE. THE UNIT WAS EVALUATED AT PHILIPS AND THE SYMPTOM WAS VERIFIED. THE PROCESSOR PCA WAS REPLACED TO RESOLVE THE REPORTED ISSUE.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THE DEVICE WOULD HANG OR LOCK UP IN POWER UP MODE.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1