FDA Adverse Event
Injury
Summary report: N
HEARTSTART MRX
MDR report key: 2933076
·
Received January 22, 2013
Report
- Report Number
- 1218950-2013-00211
- Event Type
- Injury
- Date Received
- January 22, 2013
- Report Date
- December 26, 2012
- Manufacturer
- PHILIPS MEDICAL SYSTEMS
- Product Code
- MKJ
- PMA / PMN Number
- K031187
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
(B)(4). THE CUSTOMER REPORTED THAT DURING A CODE, A THERAPY KNOB IOP MESSAGE WAS DISPLAYED. THE DEVICE STILL CHARGED AND SHOCKED AS EXPECTED. THERE WAS NO ADVERSE PATIENT IMPACT. THE 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 THAT DURING A CODE, A THERAPY KNOB INOP MESSAGE WAS DISPLAYED. THE DEVICE STILL CHARGED AND SHOCKED AS EXPECTED. THERE WAS NO ADVERSE PATIENT IMPACT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 31527 | HEARTSTART MRX | MKJ | PHILIPS MEDICAL SYSTEMS | M3535A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |