FDA Adverse Event Malfunction Summary report: N

AED3

MDR report key: 15894253 · Received December 1, 2022

Report

Report Number
1220908-2022-04625
Event Type
Malfunction
Date Received
December 1, 2022
Report Date
November 10, 2022
Manufacturer
ZOLL MEDICAL CORPORATION
Product Code
MKJ
PMA / PMN Number
P160022
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TW
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

THE DEVICE WAS RETURNED TO ZOLL MEDICAL CORPORATION FOR EVALUATION. THE CUSTOMER'S REPORT WAS ATTRIBUTED TO FLUID INGRESS. OUR EVALUATION FOUND INTERNAL FLUID DAMAGE. THE MAIN BOARD WAS SCRAPPED AND REPLACED TO REMEDY THE REPORT. THE DEVICE WAS RECERTIFIED AND RETURNED TO THE CUSTOMER. 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 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
1741292 AED3 DEFIBRILLATOR MKJ ZOLL MEDICAL CORPORATION AED3 NA

Patients

Seq Age Sex Outcome Treatment
1 Unknown