BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HEARTSTART MRX - EMS DEFIBRILLATOR

    MDR report key: 3060887 · Received March 26, 2013

    Report

    Report Number
    1218950-2013-01025
    Event Type
    Malfunction
    Date Received
    March 26, 2013
    Report Date
    March 7, 2013
    Manufacturer
    PHILIPS MEDICAL SYSTEMS
    Product Code
    MKJ
    PMA / PMN Number
    K031187
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). THE CUSTOMER REPORTED AN INABILITY TO OBTAIN ETCO2 READINGS DURING A PT EVENT. THERE WAS NO NEGATIVE PT IMPACT. THE DEVICE WAS EVALUATED BY PHILIPS FSE. THE SYMPTOM WAS CONFIRMED. PHILIPS IS CONSIDERING THIS A MALFUNCTION OF THE ETCO2 MODULE. REPLACEMENT OF THE ETCO2 MODULE RESOLVED THE SYMPTOM.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED AN INABILITY TO OBTAIN ETCO2 READINGS DURING A PT EVENT. THERE WAS NO NEGATIVE PT IMPACT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    123063 HEARTSTART MRX - EMS DEFIBRILLATOR MKJ PHILIPS MEDICAL SYSTEMS M3536A

    Patients

    Seq Age Sex Outcome Treatment
    1