FDA Adverse Event Malfunction Summary report: N

HEARTSTART MRX-EMS DEFIBRILLATOR

MDR report key: 3880748 · Received May 29, 2014

Report

Report Number
1218950-2014-03015
Event Type
Malfunction
Date Received
May 29, 2014
Report Date
May 9, 2014
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
MKJ
PMA / PMN Number
K031187
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BR
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

THE CUSTOMER REPORTED TO PHILIPS HEALTHCARE THAT THE HEARTSTART MRX "PRESENTS A NOISE AND DISPLAYS A MESSAGE THAT IT DOES NOT HAVE A PRECISION CHARGE" AND THAT "THE BATTERY IS NOT CHARGED". THERE WAS NO PT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
316900 HEARTSTART MRX-EMS DEFIBRILLATOR MKJ PHILIPS MEDICAL SYSTEMS M3536A

Patients

Seq Age Sex Outcome Treatment
1