BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LIFEPAK CR PLUS DEFIBRILLATOR

    MDR report key: 961532 · Received December 5, 2007

    Report

    Report Number
    3015876-2007-00558
    Event Type
    Malfunction
    Date Received
    December 5, 2007
    Report Date
    November 6, 2007
    Manufacturer
    PHYSIO-CONTROL, INC.
    Product Code
    MKJ
    PMA / PMN Number
    K011144
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UT, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    PHYSIO-CONTROL, INC. CONTINUES TO INVESTIGATE THE REPORTED EVENT. AWAITING RETURN OF THE DEVICE FOR EVAL.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE DEVICE WAS DISPLAYING A SERVICE ICON. THERE WAS NO PT USE ASSOCIATED WITH THE REPORTED EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIFEPAK CR PLUS DEFIBRILLATOR MKJ PHYSIO-CONTROL, INC. CR PLUS NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA YR