FDA Adverse Event Malfunction Summary report: N

HEARTSTART MRX-EMS DEFIBRILLATOR

MDR report key: 3810574 · Received April 16, 2014

Report

Report Number
1218950-2014-02156
Event Type
Malfunction
Date Received
April 16, 2014
Report Date
March 25, 2014
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
MKJ
PMA / PMN Number
K031187
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
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

IT WAS REPORTED TO PHILIPS HEALTHCARE THAT THE HEARTSTART MRX FAILED TO ACQUIRE ETCO2 DOES NOT "PICK UP". THERE WAS NO REPORTED PT IMPACT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
233504 HEARTSTART MRX-EMS DEFIBRILLATOR MKJ PHILIPS MEDICAL SYSTEMS M3536A

Patients

Seq Age Sex Outcome Treatment
1