FDA Adverse Event Malfunction Summary report: N

CODEMASTER XL

MDR report key: 2508755 · Received March 26, 2012

Report

Report Number
1218950-2012-01026
Event Type
Malfunction
Date Received
March 26, 2012
Report Date
March 2, 2012
Manufacturer
PHILIPS MEDICAL SYSTEMS-DUP
Product Code
LDD
PMA / PMN Number
K954957
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE CUSTOMER REPORTED THAT THE BATTERY WAS NOT CHARGING. THERE WAS NO REPORT OF PT INVOLVEMENT. A PHILIPS FIELD SERVICE ENGINEER EVALUATED THE DEVICE AND CONFIRMED THE FAILURE. REPLACEMENT OF THE AC POWER SUPPLY RESOLVED THE FAILURE. PHILIPS CONFIRMED THIS FAILURE AS A MALFUNCTION OF THE AC POWER SUPPLY. THE DEVICE PASSED ALL PERFORMANCE ASSURANCE TESTING AND REMAINS AT THE CUSTOMER SITE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE BATTERY WAS NOT CHARGING. THERE WAS NO REPORT OF PT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CODEMASTER XL LDD, MKJ, DQA LDD PHILIPS MEDICAL SYSTEMS-DUP M1723B

Patients

Seq Age Sex Outcome Treatment
1