FDA Adverse Event
Malfunction
Summary report: N
HEARTSTART XL + DEFIBRILLATOR MONITOR
MDR report key: 4250322
·
Received November 6, 2014
Report
- Report Number
- 1218950-2014-06732
- Event Type
- Malfunction
- Date Received
- November 6, 2014
- Report Date
- October 14, 2014
- Manufacturer
- PHILIPS MEDICAL SYSTEMS
- Product Code
- MKJ
- PMA / PMN Number
- K110825
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
(B)(4).
Description of Event or Problem · 1
THE CUSTOMER REPORTED THE XL + DEFIBRILLATOR MONITOR BATTERY CAN'T CHARGE. THERE WAS NO REPORTED PATIENT INVOLVEMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 714940 | HEARTSTART XL + DEFIBRILLATOR MONITOR | MKJ | PHILIPS MEDICAL SYSTEMS | 861290 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |