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