BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PD1200 DEFIBRILLATOR/PACEMAKER

    MDR report key: 1771866 · Received July 22, 2010

    Report

    Report Number
    1220908-2010-02040
    Event Type
    Malfunction
    Date Received
    July 22, 2010
    Report Date
    July 9, 2010
    Manufacturer
    ZOLL MEDICAL CORPORATION
    Product Code
    MKJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

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

    Description of Event or Problem · 1

    COMPLAINANT ALLEGED THAT DURING A ROUTINE SHIFT CHECK BY A CLINICIAN, THE DEVICE INAPPROPRIATELY SHUT DOWN. COMPLAINANT INDICATED THAT THERE WAS NO PT INVOLVEMENT IN THE REPORTED MALFUNCTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PD1200 DEFIBRILLATOR/PACEMAKER DEFIBRILLATOR MKJ ZOLL MEDICAL CORPORATION PD1200 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA