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 |