BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HEARTSTART SMART PADS

    MDR report key: 3802465 · Received February 21, 2014

    Report

    Report Number
    3030677-2014-00655
    Event Type
    Malfunction
    Date Received
    February 21, 2014
    Report Date
    January 31, 2014
    Manufacturer
    PHILIPS MEDICAL SYSTEMS
    Product Code
    MKJ
    PMA / PMN Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NO
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). PRODUCT EVALUATION PENDING. ISSUE IS BEING REPORTED AS ALERTS COULD NOT BE CLEARED BY OPERATOR.

    Description of Event or Problem · 1

    USER REPORTED THAT THE PADS WOULD NOT STAY ADHERED TO THE PATIENT WHILE BEING TRANSFERRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    110046 HEARTSTART SMART PADS HEARTSTART FRX MKJ PHILIPS MEDICAL SYSTEMS NA

    Patients

    Seq Age Sex Outcome Treatment
    1