BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HEARTSTART MRX

    MDR report key: 6092181 · Received November 8, 2016

    Report

    Report Number
    MW5065935
    Event Type
    Injury
    Date Received
    November 8, 2016
    Date of Event
    November 2, 2016
    Report Date
    November 8, 2016
    Manufacturer
    PHILLIPS
    Product Code
    MKJ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    DEFIBRILLATION CABLES / PADS FAILED DURING CARDIAC ARREST. SECOND CARDIAC MONITOR HAD TO BE USED. PHILLIPS MRX HEARTSTART MONITOR. SERIAL NUMBER: (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    739090 HEARTSTART MRX MRX4 MKJ PHILLIPS

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR Life Threatening