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U.S. Department of Health and Human Services

Class 2 Device Recall HeartStart MRx

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  Class 2 Device Recall HeartStart MRx see related information
Date Initiated by Firm April 10, 2020
Create Date May 20, 2020
Recall Status1 Terminated 3 on February 10, 2021
Recall Number Z-2064-2020
Recall Event ID 85462
510(K)Number K063375  
Product Classification Automated external defibrillators (non-wearable) - Product Code MKJ
Product HeartStart MRx Processor Board PCA Replacement Kits
453563478461, a component of the Philips HeartStart MRx Monitorl/Defibrillator - Product Usage: is intended for use in hospital and prehospital settings by qualified medical personnel trained in the operation of the device and qualified by training in basic life support, advanced cardiac life support or defibrillation.
Code Information Serial Numbers: CO1-1643IDOTDB CO1-1639100N3T C01-16391D0NB2, CO1-1639100N43 C01-1639100ND0 C01-16391D0N6N, C01-16391D0N4N C01-1&39IDON1J
Recalling Firm/
Manufacturer		 Philips North America, LLC
3000 Minuteman Rd
Andover MA 01810-1032
For Additional Information Contact Philips Customer Services
978-659-3000
Manufacturer Reason
for Recall		 Damaged ESD bags used for storing components in Processor PCA Replacement Kits
FDA Determined
Cause 2		 Process control
Action Philips Healthcare ssued Medical Device Correction letter dated April 10, 2020 via USP stating reason for correction, health risk and action to take: If the Processor Board PCA Replacement Kit has not yet been installed in a Heart5tart MRx Monitor/Defibrillator, quarantine the kit until Philips can replace it. If the PCA has been installed in a HeartStart MRx Monitor/Defibrillator, continue to monitor the status of the device as recommended in the Instructions for Use, including performing Operational Checks routinely as recommended in the Instructions for Use. Verify your MRx does not show a red X nor is it emitting a periodic audio chirp as this could be an indicator a failure has been detected. When the device is turned on, the device will display INOP messages for any failures detected. If a failure has been detected, take the device out of use and contact your local Philips representative. If an affected Processor Board PCA Replacement Kit 453563478461 is identified, please contact your local Phillips representative. Once the customer has contacted their local Philips representative with their HeartStart MRx Monitor/Defibrillator serial number and also confirmed the affected Processor Board PCA serial number, Philips will provide a replacement Processor Board PCA 453563478461 Replacement Kit free of charge. Further information or support concerning this issue, contact your local Philips representative or call us at 1-800-722-9377.
Quantity in Commerce 8 units (2 US and 6 OUS)
Distribution Worldwide distribution - US Nationwide distribution including in the states of OK, NY and the countries of Libya, Netherlands, Canada, South Africa, United Kingdom.
Total Product Life Cycle TPLC Device Report
1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
3 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
510(K) Database 510(K)s with Product Code = MKJ and Original Applicant = PHILIPS MEDICAL SYSTEMS
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