FDA Adverse Event Malfunction Summary report: N

TEMPUS LS - MANUAL

MDR report key: 23424625 · Received October 30, 2025

Report

Report Number
3003832357-2025-000809
Event Type
Malfunction
Date Received
October 30, 2025
Date of Event
July 11, 2025
Report Date
November 25, 2025
Manufacturer
SCHILLER AG
Product Code
LDD
UDI-DI
07613365002737
PMA / PMN Number
K200849
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

PREVIOUSLY REPORTED ON (B)(4) WITH MDR # 3003832357-2025-000598. A COMPLAINT INVESTIGATION HAS BEEN CONDUCTED ON (B)(4) WITH MDR # 3003832357-2025-000598.

Description of Event or Problem · 0

THIS REPORT IS BASED ON INFORMATION PROVIDED BY REMOTE SERVICE ENGINEER RSE, PHILIPS FIELD SERVICE ENGINEER FSE AND HAS BEEN INVESTIGATED BY THE PHILIPS COMPLAINT HANDLING TEAM. PHILIPS RECEIVED A COMPLAINT ON THE TEMPUS LS MAN DEFIBRILLATOR, INDICATING THAT THE UNIT FAILED PREVENTIVE MAINTENANCE, NO AUDIBLE ALERTS WHEN THE ECG CABLES WERE DETACHED. THE DEVICE WAS NOT IN USE DURING THIS EVENT, THEREFORE NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2250884 TEMPUS LS - MANUAL LOW ENERGY DEFIBRILLATOR LDD SCHILLER AG 00-3020 07613365002737

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other