BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HWD

    MDR report key: 13825073 · Received March 19, 2022

    Report

    Report Number
    3008642652-2022-02709
    Event Type
    Malfunction
    Date Received
    March 19, 2022
    Date of Event
    March 18, 2022
    Report Date
    March 18, 2022
    Manufacturer
    ZOLL MANUFACTURING CORPORATION
    Product Code
    MVK
    UDI-DI
    00855778005173
    PMA / PMN Number
    P010030
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 0

    CJ 6.13

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    12232 HWD WEARABLE CARDIOVERTER DEFIBRILLATOR MVK ZOLL MANUFACTURING CORPORATION HWD 1000 00855778005173

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown