FDA Adverse Event
Malfunction
Summary report: N
BATTERY 14.8V, 6.3 AH LI-ION BATTERY
MDR report key: 3012319
·
Received March 15, 2013
Report
- Report Number
- 1218950-2013-00328
- Event Type
- Malfunction
- Date Received
- March 15, 2013
- Report Date
- January 7, 2013
- Manufacturer
- PHILIPS MEDICAL SYSTEMS
- Product Code
- MKJ
- PMA / PMN Number
- K031187
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
(B)(4). THE CUSTOMER REPORTED THE DEVICE DOES NOT WORK ON BATTERY POWER. THERE WAS NO REPORTED PATIENT INVOLVEMENT. 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 DEVICE DOES NOT WORK ON BATTERY POWER. THERE WAS NO REPORTED PATIENT INVOLVEMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 110849 | BATTERY 14.8V, 6.3 AH LI-ION BATTERY | MKJ | PHILIPS MEDICAL SYSTEMS | M3538A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |