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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 Display or Visual Feedback Problem (1184)
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 screen is dim.
 
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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
maria heiling
22100 bothell everett highway
bothell, WA 98021
+1(909)570-3538
MDR Report Key50893207
Report Number3030677-2026-101022
Device Sequence Number17642753
Product Code MKJ
UDI-Device Identifier00884838049994
UDI-Public(01)00884838049994
Combination Product (Y/N)N
Initial Reporter CountryAS
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,User Facility
Initial Reporter Occupation Biomedical Engineer
Type of Report Initial
Report Date (Section B) 09/25/2026
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 09/16/2026
Initial Report FDA Received Date09/25/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured12/01/2014
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
Patient Sequence Number1
Patient SexUnknown
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