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