BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HEARTSTART MRX

    MDR report key: 4231555 · Received October 17, 2014

    Report

    Report Number
    1218950-2014-06268
    Event Type
    Malfunction
    Date Received
    October 17, 2014
    Report Date
    April 12, 2013
    Manufacturer
    PHILIPS MEDICAL SYSTEMS
    Product Code
    MKJ
    PMA / PMN Number
    K031187
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4).

    Description of Event or Problem · 1

    DURING EVALUATION OF THE DEVICE FOR A DIFFERENT SYMPTOM, A SHOCK EQUIPMENT MALFUNCTION ERROR WAS NOTED. THERE WAS NO IMPACT TO THE INVOLVED PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    660212 HEARTSTART MRX MKJ PHILIPS MEDICAL SYSTEMS M3535A

    Patients

    Seq Age Sex Outcome Treatment
    1