FDA Adverse Event Malfunction Summary report: N

HEARTSTART MRX - EMS DEFIB

MDR report key: 3981283 · Received June 20, 2014

Report

Report Number
1218950-2014-03610
Event Type
Malfunction
Date Received
June 20, 2014
Report Date
June 2, 2014
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
MKJ
PMA / PMN Number
K031187
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, 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

THE CUSTOMER REPORTED THE LEFT BATTERY IS NOT CHARGING. THERE WAS NO PT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
364337 HEARTSTART MRX - EMS DEFIB MKJ PHILIPS MEDICAL SYSTEMS M3536A

Patients

Seq Age Sex Outcome Treatment
1