FDA Adverse Event Malfunction Summary report: N

AED PLUS

MDR report key: 13426663 · Received February 2, 2022

Report

Report Number
1220908-2022-00262
Event Type
Malfunction
Date Received
February 2, 2022
Report Date
January 12, 2022
Manufacturer
ZOLL MEDICAL CORPORATION
Product Code
MKJ
UDI-DI
00847946002152
PMA / PMN Number
K011541/P160
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

ZOLL MEDICAL CORPORATION HAS RECEIVED THE PRODUCT AND WILL BE PROVIDING A SUPPLEMENTAL REPORT WHEN OUR INVESTIGATION IS COMPLETED.

Additional Manufacturer Narrative · 0

ZOLL MEDICAL CORPORATION EVALUATED THE DEVICE AND THE CUSTOMER'S REPORT WAS NOT REPLICATED OR CONFIRMED. THE DEVICE WAS PUT THROUGH EXTENSIVE TESTING INCLUDING BENCH HANDLING, POWER CYCLING, AND FULL FUNCTIONAL STRESS TESTING INCLUDING ON/OFF CURRENT TESTING, USING THE RETURNED BATTERIES AND ELECTRODE PADS, WITHOUT DUPLICATING THE REPORT. REVIEW OF THE DEVICE ACTIVITY LOGS DID NOT SHOW ANY EVIDENCE TO SUPPORT THE CUSTOMER'S REPORT THE DEVICE PROMPTED UNIT FAILED IN RESCUE MODE. THEREFORE, OUR INVESTIGATION FOR THIS REPORTED MALFUNCTION WAS UNSUBSTANTIATED. THE DEVICE WAS RECERTIFIED AND RETURNED TO THE CUSTOMER. NO TREND IS ASSOCIATED WITH REPORTS OF THIS TYPE.

Description of Event or Problem · 0

COMPLAINANT ALLEGED THAT DURING FUNCTIONAL TESTING, THE DEVICE PROMPTED A "UNIT FAILED" MESSAGE. COMPLAINANT INDICATED THAT THERE WAS NO PATIENT INVOLVEMENT IN THE REPORTED MALFUNCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1872418 AED PLUS DEFIBRILLATOR MKJ ZOLL MEDICAL CORPORATION AED PLUS NA 00847946002152

Patients

Seq Age Sex Outcome Treatment
1 Unknown