BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HEARTSTART MRX

    MDR report key: 4357385 · Received December 15, 2014

    Report

    Report Number
    1218950-2014-07574
    Event Type
    Malfunction
    Date Received
    December 15, 2014
    Report Date
    November 19, 2014
    Manufacturer
    PHILIPS MEDICAL SYSTEMS
    Product Code
    MKJ
    PMA / PMN Number
    K031187
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    PR# (B)(4). WHEN INVESTIGATION IS COMPLETED, A FOLLOW UP REPORT WILL BE SENT TO THE FDA.

    Description of Event or Problem · 1

    IT WAS REPORTED TO PHILIPS THAT THE HEARTSTART MRX DEFIBRILLATOR CHARGED TO 150 J TO SHOCK A MANIKIN THEN DUMPED THE CHARGE BACK INTO THE DEVICE. THE DEVICE REACHED THE CHARGE, BUT FAILED TO DISCHARGE AS THE ENERGY HAD DUMPED BACK INTO THE DEVICE. THERE WAS NO PT INVOLVEMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    821927 HEARTSTART MRX MKJ PHILIPS MEDICAL SYSTEMS M3535A

    Patients

    Seq Age Sex Outcome Treatment
    1