BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HEARTSTART MRX - EMS DEFIBRILLATOR

    MDR report key: 2469161 · Received February 21, 2012

    Report

    Report Number
    1218950-2012-00585
    Event Type
    Injury
    Date Received
    February 21, 2012
    Report Date
    January 25, 2012
    Manufacturer
    PHILIPS MEDICAL SYSTEMS
    Product Code
    MKJ
    PMA / PMN Number
    K031187
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). THE CUSTOMER REPORTED THEY WERE UNABLE TO OBTAIN A PADS ECG WAVEFORM DURING A PATIENT EVENT. THERE WAS NO REPORT OF NEGATIVE PATIENT IMPACT. THIS COMPLAINT IS STILL BEING INVESTIGATED. A FOLLOW-UP REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THEY WERE UNABLE TO OBTAIN A PADS ECG WAVEFORM DURING A PATIENT EVENT. THERE WAS NO REPORT OF NEGATIVE PATIENT IMPACT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HEARTSTART MRX - EMS DEFIBRILLATOR MKJ PHILIPS MEDICAL SYSTEMS M3536A

    Patients

    Seq Age Sex Outcome Treatment
    1