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