FDA Adverse Event Malfunction Summary report: N

BATTERY 14.8V, 6.3 AH LI-ION BATTERY

MDR report key: 2910586 · Received December 3, 2012

Report

Report Number
1218950-2012-03968
Event Type
Malfunction
Date Received
December 3, 2012
Report Date
November 28, 2012
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
MKJ
PMA / PMN Number
K031187
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

(B)(4) ON (B)(6) 2012, THE CUSTOMER REPORTED THAT THE BATTERY WAS NOT HOLDING A CHARGE AND THERE ARE NO LED LIGHTS. THERE WAS NO REPORT OF PATIENT INVOLVEMENT. THE COMPLAINT IS STILL UNDER INVESTIGATION. A FOLLOW-UP REPORT WILL BE SUBMITTED ONCE THE INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

ON (B)(6) 2012, THE CUSTOMER REPORTED THAT THE BATTERY WAS NOT HOLDING A CHARGE AND THERE ARE NO LED LIGHTS. THERE WAS NO REPORT OF PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BATTERY 14.8V, 6.3 AH LI-ION BATTERY MKJ PHILIPS MEDICAL SYSTEMS M3538A 12207-0603-P

Patients

Seq Age Sex Outcome Treatment
1