FDA Adverse Event Malfunction Summary report: N

HEARTSTART MRX

MDR report key: 2231238 · Received July 22, 2011

Report

Report Number
1218950-2011-02100
Event Type
Malfunction
Date Received
July 22, 2011
Report Date
May 26, 2011
Manufacturer
PHILIPS HEALTHCARE - ANDOVER
Product Code
MKJ
PMA / PMN Number
K031187
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE CUSTOMER REPORTED THAT THE EQUIPMENT WAS BEEPING AND IT HAS A PASSWORD AND THE CLIENT IS NOT ABLE TO ACCESS IT. THERE WAS NO PT INVOLVEMENT. THE DEVICE WAS EVALUATED BY A PHILIPS FIELD SERVICE ENGINEER. THE SYMPTOM WAS CLARIFIED AS THE RFH (READY FOR USE) INDICATOR SHOWED A SOLID RED "X" AND A PERIODIC CHIRP, THE CHARGE BUTTON FAILED DURING THE OPCHECK. THE ISSUE WAS LOCALIZED TO A PROCESSOR PCA MALFUNCTION.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE EQUIPMENT WAS BEEPING AND IT HAS A PASSWORD AND THE CLIENT IS NOT ABLE TO ACCESS IT. THERE WAS NO PT INVOLVEMENT.

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