FDA Adverse Event Malfunction Summary report: N

HEARTSTART MRX

MDR report key: 2933162 · Received January 4, 2013

Report

Report Number
2933162
Event Type
Malfunction
Date Received
January 4, 2013
Date of Event
June 10, 2010
Report Date
June 17, 2010
Manufacturer
PHILLIPS MEDICAL SYSTEMS
Product Code
MKJ
Product Problem
Yes
Report Source
User Facility report

Narratives

Description of Event or Problem · 1

NO READING ON CAPNOGRAPHY; FAILED TO RECOGNIZE END TIDAL CO2.======================HEALTH PROFESSIONAL'S IMPRESSION.======================PARAMEDIC UNSURE WHAT CAUSED THE PROBLEM. MONITOR REMOVED FROM SERVICE AND EVALUATED BY CLINICAL ENGINEERING. NO PROBLEM IDENTIFIED AND MONITOR RETURNED TO USE. THE FILTER WAS NOT SAVED. THE POSSIBLE ISSUES INCLUDE THE FILTER,THE CONNECTION NOT COMPLETELY SEEDED BY PARAMEDIC OR PROBLEM WITH MONITOR. PATIENT INFORMATION NOT PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
5713 HEARTSTART MRX AUTOMATED EXTERNAL DEFIBRILLATORS MKJ PHILLIPS MEDICAL SYSTEMS HEARTSTART MRX *

Patients

Seq Age Sex Outcome Treatment
1 *