FDA Adverse Event
Malfunction
Summary report: N
HEARTSTART XL+ DEFIBRILLATOR/MONITOR
MDR report key: 7846400
·
Received September 5, 2018
Report
- Report Number
- 1218950-2018-07125
- Event Type
- Malfunction
- Date Received
- September 5, 2018
- Report Date
- August 12, 2018
- Manufacturer
- PHILIPS MEDICAL SYSTEMS
- Product Code
- MKJ
- PMA / PMN Number
- K110825
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SA
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
THE CUSTOMER REPORTED A SOFTWARE ISSUE. CLARIFICATION WAS PROVIDED THAT THE THERAPY SWITCH WAS GIVING INACCURATE SELECTION; WHEN 30 J IS SELECTED, IT RECOGNIZES 10 J. THUS THE SYSTEM OPTS OUT TO SERVICE MODE EVERY TIME THE USER TRIES TO PERFORM THE OPERATIONAL CHECK BECAUSE IT IS SENSING THE WRONG SELECTION. THERE WAS NO REPORTED PATIENT OR USER INVOLVEMENT AND NO ADVERSE PATIENT/USER IMPACT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 687798 | HEARTSTART XL+ DEFIBRILLATOR/MONITOR | ALS DEFIBRILLATOR MONITOR | MKJ | PHILIPS MEDICAL SYSTEMS | 861290 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |