BEUDAMED
    FDA Adverse Event Other Summary report: N

    PHYSIO CONTROL

    MDR report key: 5479853 · Received August 23, 2005

    Report

    Report Number
    5479853
    Event Type
    Other
    Date Received
    August 23, 2005
    Date of Event
    August 14, 2005
    Report Date
    August 23, 2005
    Manufacturer
    PHYSIO CONTROL
    Product Code
    MKJ
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    0

    Narratives

    Description of Event or Problem · 1

    POSSIBLE MALFUNCTION OF PHYSIO CONTROL DEFIBRILLATOR/MONITOR UNIT SENT FOR CHECK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PHYSIO CONTROL DEFIBRILLATOR/MONITOR MKJ PHYSIO CONTROL LIFEPAK 9P

    Patients

    Seq Age Sex Outcome Treatment
    1 85 YR