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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PHILIPS NORTH AMERICA LLC HEARTSTART; AUTOMATED EXTERNAL DEFIBRILLATORS (NON-WEARABLE)

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PHILIPS NORTH AMERICA LLC HEARTSTART; AUTOMATED EXTERNAL DEFIBRILLATORS (NON-WEARABLE) Back to Search Results
Model Number HEARTSTART FR3
Medical Device Problem Code Battery Problem (2885)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Event or Problem Description
It has been reported that the battery is not functioning properly.
 
Additional Manufacturer Narrative
Updated conclusion code to better reflect the outcome.
 
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Brand Name
HEARTSTART
Common Device Name
AUTOMATED EXTERNAL DEFIBRILLATORS (NON-WEARABLE)
Manufacturer (Section D)
PHILIPS NORTH AMERICA LLC
22100 bothell everett highway
bothell WA 98021
Manufacturer (Section G)
PHILIPS NORTH AMERICA LLC
22100 bothell everett highway
bothell WA 98021
Manufacturer Contact
tanya deschmidt
22100 bothell everett highway
bothell, WA 98021
9095703538
MDR Report Key24734735
Report Number3030677-2026-100380
Device Sequence Number9286658
Product Code MKJ
UDI-Device Identifier00884838049994
UDI-Public(01)00884838049994
Combination Product (Y/N)N
Initial Reporter CountrySP
PMA/510(K) Number
P160028
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,User Facility
Initial Reporter Occupation Other
Type of Report Initial,Followup,Followup
Report Date (Section B) 06/30/2026
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 Other
Device Model NumberHEARTSTART FR3
Device Catalogue Number861389
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 03/26/2026
Supplement Date Received by Manufacturer05/29/2026
06/30/2026
Initial Report FDA Received Date03/30/2026
Supplement Report FDA Received Date06/01/2026
06/30/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured06/01/2018
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 A
Patient Sequence Number1
Patient SexUnknown
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