FDA Adverse Event
Malfunction
Summary report: N
CODEMASTER XL
MDR report key: 3761097
·
Received December 31, 2013
Report
- Report Number
- 1218950-2013-06838
- Event Type
- Malfunction
- Date Received
- December 31, 2013
- Report Date
- December 10, 2013
- Manufacturer
- PHILIPS MEDICAL SYSTEMS
- Product Code
- LDD
- PMA / PMN Number
- K954957
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IT
- Reporter Occupation
- OTHER
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 TO PHILIPS HEALTHCARE THAT THE BATTERY DID NOT HOLD A CHARGE ON THE CODEMASTER XL. FURTHER INFORMATION OBTAINED INDICATES THE CODEMASTER XL TURNS ON BUT EVEN IF IT IS CONNECTED TO THE NETWORK, IT DOES NOT HAVE ANY LIGHT THAT INDICATES PRESENCE ON NETWORK. THERE WAS NO PT INVOLVEMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 682638 | CODEMASTER XL | LDD, MKJ, DQA | LDD | PHILIPS MEDICAL SYSTEMS | M1723A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |