BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    RESPONDER 1250

    MDR report key: 37911 · Received August 30, 1996

    Report

    Report Number
    2124823-1996-00001
    Event Type
    Malfunction
    Date Received
    August 30, 1996
    Date of Event
    August 1, 1996
    Report Date
    August 1, 1996
    Manufacturer
    MARQUETTE ELECTRONICS, INC.
    Product Code
    MKJ
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CUSTOMER REPORTED SCREEN ROLLING. NO REPORTED PT INVOLVMENT. SERVICE REP REPAIRED DEVICE AND CONFIRMED PROPER OPERATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RESPONDER 1250 DEFIBRILLATOR, D.C. MKJ MARQUETTE ELECTRONICS, INC. 1250 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA