FDA Adverse Event
Malfunction
Summary report: N
HEARTSTART MRX - EMS DEFIBRILLATOR
MDR report key: 3023383
·
Received February 26, 2013
Report
- Report Number
- 1218950-2013-00673
- Event Type
- Malfunction
- Date Received
- February 26, 2013
- Report Date
- February 15, 2013
- Manufacturer
- PHILIPS MEDICAL SYSTEMS
- Product Code
- MKJ
- PMA / PMN Number
- K031187
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GA, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
(B)(4). THE CUSTOMER REPORTED THAT THE DEVICE WAS ALARMING AND NOT RECOGNIZING THE BATTERY. THIS SYMPTOM COULD PREVENT THE DELIVERY OF THERAPY AND IS THEREFORE REPORTABLE. NO PT INVOLVEMENT WAS REPORTED. THIS 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 THE DEVICE WAS ALARMING AND NOT RECOGNIZING THE BATTERY. THIS SYMPTOM COULD PREVENT THE DELIVERY OF THERAPY AND IS THEREFORE REPORTABLE. NO PT INVOLVEMENT WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 83493 | HEARTSTART MRX - EMS DEFIBRILLATOR | MKJ | PHILIPS MEDICAL SYSTEMS | M3536A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |