FDA Adverse Event Malfunction Summary report: N

HEARTSTART MRX - EMS DEFIBRILLATOR

MDR report key: 4030167 · Received July 15, 2014

Report

Report Number
1218950-2014-04071
Event Type
Malfunction
Date Received
July 15, 2014
Report Date
June 20, 2014
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
MKJ
PMA / PMN Number
K031187
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

IT WAS REPORTED TO PHILIPS HEALTHCARE THAT THE HEARTSTART MRX DEFIBRILLATOR'S ETCO2 FUNCTION WAS NOT WORKING PROPERLY. THERE WAS NO REPORTED PT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
414097 HEARTSTART MRX - EMS DEFIBRILLATOR MKJ PHILIPS MEDICAL SYSTEMS M3536A

Patients

Seq Age Sex Outcome Treatment
1