FDA Adverse Event
Malfunction
Summary report: N
HEARTSTART MRX -EMS DEFIBRILLATOR
MDR report key: 8708668
·
Received June 18, 2019
Report
- Report Number
- 1218950-2019-04295
- Event Type
- Malfunction
- Date Received
- June 18, 2019
- Report Date
- April 4, 2017
- 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
Description of Event or Problem · 1
DURING SERVICING OF THE DEVICE, IT WAS NOTICED THAT THE BATTERY PCA WAS ONLY RECOGNIZING ONE OF THE TWO BATTERIES. THERE IS NO PATIENT INVOLVEMENT. THIS REPORT WAS GENERATED PURSUANT TO QUALITY PLAN (B)(4) - QUALITY PLAN ¿ ECR ALS SERVICE RECORD REMEDIATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 503785 | HEARTSTART MRX -EMS DEFIBRILLATOR | DEFIBRILLATOR | MKJ | PHILIPS MEDICAL SYSTEMS | M3536A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |