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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: HEARTSINE TECHNOLOGIES LTD PACKAGE,360P,PP01,EN,360-STR-US-10; AUTOMATED EXTERNAL DEFIBRILLATOR

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HEARTSINE TECHNOLOGIES LTD PACKAGE,360P,PP01,EN,360-STR-US-10; AUTOMATED EXTERNAL DEFIBRILLATOR Back to Search Results
Model Number 360P
Medical Device Problem Code No Audible Prompt/Feedback (2282)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/07/2024
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Heartsine has requested return of the device for investigation.Upon completion, the conclusions will be submitted in a follow-up report.
 
Event or Problem Description
The customer contacted heartsine to report that their device did not emit audio prompts.In this state the device may not be able to deliver defibrillation therapy if needed.There was no report of patient use associated to the reported event.
 
Additional Manufacturer Narrative
Heartsine has made multiple attempts to contact the customer regarding the status of their device, but no response has been received from the customer.The device was not returned to heartsine for investigation.No additional information will be forthcoming at this time.The cause of the reported issue could not be determined.If the device is returned to the manufacturer the investigation will be reopened.
 
Event or Problem Description
The customer contacted heartsine to report that their device did not emit audio prompts.In this state the device may not be able to deliver defibrillation therapy if needed.There was no report of patient use associated to the reported event.
 
Additional Manufacturer Narrative
Hearsine's investigation confirmed the reported fault as upon receipt, the device would not issue audio prompts.A visual inspection of the speaker cables identified that the red speaker cable was severed in the region where the rim of the upper case meets the lower case.This indicates that the cable had been damaged during pairing of the two cases at manufacture.The fault could not be replicated after replacing the speaker.The device was scrapped by heartsine and the customer was provided with a replacement device.
 
Event or Problem Description
The customer contacted heartsine to report that their device did not emit audio prompts.In this state the device may not be able to deliver defibrillation therapy if needed.There was no report of patient use associated to the reported event.
 
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Brand Name
PACKAGE,360P,PP01,EN,360-STR-US-10
Common Device Name
AUTOMATED EXTERNAL DEFIBRILLATOR
Manufacturer (Section D)
HEARTSINE TECHNOLOGIES LTD
207 airport road west
belfast BT3 9 ED
EI  BT3 9ED
Manufacturer (Section G)
HEARTSINE TECHNOLOGIES LTD
207 airport road west
belfast BT3 9 ED
EI   BT3 9ED
Manufacturer Contact
brian blakeslee
207 airport road west
belfast BT3 9-ED
EI   BT3 9ED
4258674577
MDR Report Key19458951
Report Number3004123209-2024-00078
Device Sequence Number6652972
Product Code MKJ
UDI-Device Identifier05060167120688
UDI-Public05060167120688
Combination Product (Y/N)N
Initial Reporter StateAL
Initial Reporter CountryUS
PMA/510(K) Number
P160008
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Consumer
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup,Followup
Report Date (Section B) 11/11/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Lay User/Patient
Device Model Number360P
Device Catalogue Number360-STR-US-10
Was Device Available for Evaluation? Device Returned to Manufacturer
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 05/07/2024
Supplement Date Received by Manufacturer07/30/2024
10/30/2024
Initial Report FDA Received Date06/04/2024
Supplement Report FDA Received Date08/14/2024
11/11/2024
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured09/11/2019
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
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