BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PD1200 DEFIBRILLATOR/PACEMAKER

    MDR report key: 1033429 · Received April 21, 2008

    Report

    Report Number
    1220908-2008-00816
    Event Type
    Malfunction
    Date Received
    April 21, 2008
    Report Date
    April 8, 2008
    Manufacturer
    ZOLL MEDICAL CORP
    Product Code
    LDD
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    ZOLL MEDICAL CORP HAS NOT REC'D THE PROD, AND THIS COMPLAINT IS STILL UNDER INVESTIGATION.

    Description of Event or Problem · 1

    COMPLAINANT ALLEGED THAT DURING A ROUTINE SHIFT CHECK BY A CLINICIAN, SMOKE WAS OBSERVED COMING OUT OF THE DEVICE. COMPLAINANT INDICATED THAT THERE WAS NO PT INVOLVEMENT IN THE REPORTED MALFUNCTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PD1200 DEFIBRILLATOR/PACEMAKER DEFIBRILLATOR LDD ZOLL MEDICAL CORP PD1200 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA