BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HEARTSTART MRX

    MDR report key: 4081392 · Received July 9, 2014

    Report

    Report Number
    1218950-2014-04022
    Event Type
    Malfunction
    Date Received
    July 9, 2014
    Report Date
    June 12, 2014
    Manufacturer
    PHILIPS MEDICAL SYSTEMS
    Product Code
    MKJ
    PMA / PMN Number
    K031187
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    PR#: (B)(4). A FOLLOW-UP REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION.

    Description of Event or Problem · 1

    THE CUSTOMER CONTACTED PHILIPS HEALTHCARE TO REPORT THAT THE LEAD II BUTTON ON THE TOP LEFT OF THE DISPLAY IS MISSING. THIS WOULD IMPACT LEADS ECG SELECTION AND DISPLAY OF WAVEFORM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    400646 HEARTSTART MRX MKJ PHILIPS MEDICAL SYSTEMS M3535A

    Patients

    Seq Age Sex Outcome Treatment
    1