BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HEART START MRX

    MDR report key: 3090203 · Received April 19, 2013

    Report

    Report Number
    1218950-2013-01444
    Event Type
    Malfunction
    Date Received
    April 19, 2013
    Report Date
    March 28, 2013
    Manufacturer
    PHILIPS MEDICAL SYSTEMS
    Product Code
    MKJ
    PMA / PMN Number
    K031187
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). A FOLLOW UP REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THE DEVICE HAD A LOW BATTERY AFTER DELIVERING ONE SHOCK. THERE WAS NO REPORTED PATIENT INVOLVEMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    169474 HEART START MRX MKJ PHILIPS MEDICAL SYSTEMS M3535A

    Patients

    Seq Age Sex Outcome Treatment
    1