FDA Adverse Event
Malfunction
Summary report: N
ONESTEP COMPLETE, SINGLE, R SERIES
MDR report key: 15796793
·
Received November 15, 2022
Report
- Report Number
- 15796793
- Event Type
- Malfunction
- Date Received
- November 15, 2022
- Date of Event
- November 1, 2022
- Report Date
- November 10, 2022
- Manufacturer
- ZOLL MEDICAL CORPORATION
- Product Code
- MKJ
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MN
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
R2018-33, 214234243- GEL ROLLED/DISPLACED ON BACK PAD. ONLY 2 ROUNDS OF COMPRESSIONS DONE. SENT BACK TO MFG. 2622B- ZOLL PADS WERE ATTACHED TO ZOLL DEFIB DEVICE AND WERE TESTED PER ROUTINE CHECK. PADS DID NOT FIRE AND FAILED TEST. ANOTHER SET OF PADS WAS ATTACHED TO THE DEVICE AND THIS TEST PASSED THE CHECK. WILL BE SENT BACK TO MFG.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1103486 | ONESTEP COMPLETE, SINGLE, R SERIES | AUTOMATED EXTERNAL DEFIBRILLATORS (NON-WEARABLE) | MKJ | ZOLL MEDICAL CORPORATION | 8900-0224-01 | R2018-33 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |