HEARTSTART MRX M3535A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 99 report with the FDA on 2014-11-12 for HEARTSTART MRX M3535A manufactured by Philips Medical Systems.

Event Text Entries

[5297785] It was reported to philips healthcare that the device had an ecg equip malfunction inop message and ecg bias errors in the status log. There was no reported pt involvement or negative pt impact.
Patient Sequence No: 1, Text Type: D, B5


[12496372] (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1218950-2014-06831
MDR Report Key4268076
Report Source99
Date Received2014-11-12
Date of Report2014-10-27
Date Mfgr Received2014-10-27
Device Manufacturer Date2005-03-01
Date Added to Maude2014-11-25
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactPHYLLIS MCCARTHY
Manufacturer Street3000 MINUTEMAN RD.
Manufacturer CityANDOVER MA 01810
Manufacturer CountryUS
Manufacturer Postal01810
Manufacturer Phone9786592811
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHEARTSTART MRX
Product CodeMJK
Date Received2014-11-12
Returned To Mfg2014-11-03
Model NumberM3535A
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerPHILIPS MEDICAL SYSTEMS
Manufacturer Address3000 MINUTEMAN RD. ANDOVER MA 01810 US 01810


Patients

Patient NumberTreatmentOutcomeDate
10 2014-11-12

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