FDA Adverse Event
Malfunction
Summary report: N
NA
MDR report key: 3823078
·
Received April 30, 2014
Report
- Report Number
- 1218950-2014-02364
- Event Type
- Malfunction
- Date Received
- April 30, 2014
- Report Date
- April 15, 2014
- Manufacturer
- PHILIPS MEDICAL SYSTEMS
- Product Code
- MKJ
- PMA / PMN Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TN, US
- 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 REPORT THAT VTACH WAS NOT AUDIBLY ALARMING AT THE CENTRAL STATION. THERE WAS NO REPORT OF PATIENT HARM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 259513 | NA | NA | MKJ | PHILIPS MEDICAL SYSTEMS | 862197 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |