FDA Adverse Event
Other
Summary report: N
NONE
MDR report key: 2467770
·
Received February 16, 2012
Report
- Report Number
- 3030677-2012-00071
- Event Type
- Other
- Date Received
- February 16, 2012
- Report Date
- January 25, 2012
- Manufacturer
- PHILIPS MEDICAL SYSTEMS (HTST)
- Product Code
- MKJ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TN, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
(B)(4). METHOD: ECG WAS REVIEWED FOR THIS INCIDENT. CONCLUSION: THE AED ADVISED NO SHOCK ON A NON-SHOCKABLE RHYTHM.
Description of Event or Problem · 1
DURING DEPLOYMENT THE USER REPORTED THAT THE DEVICE DID NOT SHOCK A SHOCKABLE RHYTHM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | NONE | MKJ | PHILIPS MEDICAL SYSTEMS (HTST) |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 44 YR |