BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HEART START MRX - EMS DEFIBRILLATOR

    MDR report key: 2935411 · Received January 3, 2013

    Report

    Report Number
    1218950-2013-00002
    Event Type
    Malfunction
    Date Received
    January 3, 2013
    Report Date
    December 10, 2012
    Manufacturer
    PHILIPS MEDICAL SYSTEMS
    Product Code
    MKJ
    PMA / PMN Number
    K031187
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). THE CUSTOMER REPORTED THE MONITOR WILL NOT DISPLAY V2 CAUSING LOW PADS TEST. THERE IS NOT REPORTED NEGATIVE PT 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 THE MONITOR WILL NOT DISPLAY V2 CAUSING LOW PADS TEST. THERE IS NOT REPORTED NEGATIVE PT IMPACT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    3972 HEART START MRX - EMS DEFIBRILLATOR MKJ PHILIPS MEDICAL SYSTEMS M3536A

    Patients

    Seq Age Sex Outcome Treatment
    1