FDA Adverse Event Malfunction Summary report: N

HEARTSTART

MDR report key: 23257984 · Received October 9, 2025

Report

Report Number
3030677-2025-002277
Event Type
Malfunction
Date Received
October 9, 2025
Report Date
October 29, 2025
Manufacturer
PHILIPS NORTH AMERICA LLC
Product Code
NSA
UDI-DI
00884838075849
PMA / PMN Number
P160029
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

UPDATING CONCLUSION CODE GRID. ALSO SEE MFR REPORT #3030677-2025-001627 WHICH CONTAINS INFORMATION ASSOCIATED WITH THIS SAME EVENT.

Description of Event or Problem · 0

IT HAS BEEN REPORTED THAT THE DEVICE IS FAILING SELF-TEST.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2046056 HEARTSTART AED NSA PHILIPS NORTH AMERICA LLC HEARTSTART HS1 00884838075849

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown