BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HEARTSTART XL

    MDR report key: 2490915 · Received March 7, 2012

    Report

    Report Number
    1218950-2012-00822
    Event Type
    Malfunction
    Date Received
    March 7, 2012
    Report Date
    February 13, 2012
    Manufacturer
    PHILIPS MEDICAL SYSTEMS
    Product Code
    MKJ
    PMA / PMN Number
    K001725
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). THE CUSTOMER REPORTED THE SYMPTOM OF "GETTING ERROR 1000 & WILL NOT TURN ON". WE WILL CONSIDER THIS TO BE A FAILURE TO POWER UP. THERE WAS NO REPORT OF PT INVOLVEMENT OR ADVERSE PT 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 THE SYMPTOM OF "GETTING ERROR 1000 AND WILL NOT TURN ON". WE WILL CONSIDER THIS TO BE A FAILURE TO POWER UP. THERE WAS NO REPORT OF PT INVOLVEMENT OR ADVERSE PT IMPACT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HEARTSTART XL MKJ PHILIPS MEDICAL SYSTEMS M4735A

    Patients

    Seq Age Sex Outcome Treatment
    1