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