FDA Adverse Event
Malfunction
Summary report: N
HEARTSTART MRX -EMS DEFIBRILLATOR
MDR report key: 5233758
·
Received November 18, 2015
Report
- Report Number
- 1218950-2015-06200
- Event Type
- Malfunction
- Date Received
- November 18, 2015
- Report Date
- October 26, 2015
- Manufacturer
- PHILIPS MEDICAL SYSTEMS
- Product Code
- MKJ
- PMA / PMN Number
- K031187
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A FOLLOW UP REPORT WILL BE SUBMITTED AFTER THE DEVICE HAS BEEN RECEIVED BY PHILIPS FOR EVALUATION. (B)(4).
Description of Event or Problem · 1
IT WAS REPORTED TO PHILIPS THAT THERE ARE "UNBELIEVABLE" ETCO2 READINGS ON THE MRX DEVICE. THERE WAS NO PATIENT IMPACT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 763376 | HEARTSTART MRX -EMS DEFIBRILLATOR | DEFIBRILLATOR | MKJ | PHILIPS MEDICAL SYSTEMS | M3536A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |