FDA Adverse Event
Malfunction
Summary report: N
G3 PLUS, AED, ENGLISH, NB2S
MDR report key: 15226653
·
Received August 15, 2022
Report
- Report Number
- 2112020-2022-00830
- Event Type
- Malfunction
- Date Received
- August 15, 2022
- Report Date
- July 25, 2022
- Manufacturer
- CARDIAC SCIENCE CORPORATION
- Product Code
- MKJ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- 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 CUSTOMER WAS CONTACTED FOR RETURN OF THE DEVICE. THE DEVICE HAS NOT BEEN RETURNED TO ZOLL MEDICAL CORPORATION FO EVALUATION.
Description of Event or Problem · 0
COMPLAINANT ALLEGED THAT DURING FUNCTIONAL TESTING, THE DEVICE WAS UNABLE TO OBTAIN AN ECG SIGNAL VIA ELECTRODE PADS. COMPLAINANT INDICATED THAT THERE WAS NO PATIENT INVOLVEMENT IN THE REPORTED MALFUNCTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 287220 | G3 PLUS, AED, ENGLISH, NB2S | AUTOMATED EXTERNAL DEFIBRILLATOR | MKJ | CARDIAC SCIENCE CORPORATION | 9390E-501-NB2S | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |