FDA Adverse Event Malfunction Summary report: N

AED PLUS

MDR report key: 15086228 · Received July 22, 2022

Report

Report Number
1220908-2022-02605
Event Type
Malfunction
Date Received
July 22, 2022
Report Date
July 1, 2022
Manufacturer
ZOLL MEDICAL CORPORATION
Product Code
MKJ
PMA / PMN Number
K011541/P160
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NP
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

ZOLL MEDICAL CORPORATION HAS NOT RECEIVED THE DEVICE FOR EVALUATION AND THIS COMPLAINT IS STILL UNDER INVESTIGATION.

Additional Manufacturer Narrative · 0

THE DEVICE WAS RETURNED TO ZOLL NETHERLANDS AND THE DEVICE PERFORMED TO SPECIFICATION. THE DEVICE WAS RECERTIFIED AND RETURNED TO THE CUSTOMER. REVIEWE OF THE DEVICE ACTIVITY LOGS SHOWED THAT THE USER PRESSED THE SHOCK BUTTON THREE TIMES BEFORE THE DEVICE COULD SUCCESSFULLY COMPLETE THE CHARGE. IT'S IMPORTANT TO NOTE THAT THE CUSTOMER WAS USING A NETECH DELTA 1600 ANALYER TO PERFORM THE TESTING ON THIS DEVICE. THIS IS NOT CONSIDERED TO BE A SUITABLE ANALYZER FOR TESTING OF ZOLL AED DEVICES. ANALYSIS FOR REPORTS OF THIS TYPE HAS NOT IDENTIFIED AN INCREASE IN TREND.

Description of Event or Problem · 0

COMPLAINANT ALLEGED THAT DURING BIOMED TESTING, THE DEVICE FAILED TO DISCHARGE. COMPLAINANT INDICATED THAT THERE WAS NO PATIENT INVOLVEMENT IN THE REPORTED MALFUNCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
102919 AED PLUS DEFIBRILLATOR MKJ ZOLL MEDICAL CORPORATION AED PLUS NA

Patients

Seq Age Sex Outcome Treatment
1 Unknown