FDA Adverse Event Malfunction Summary report: N

AED PRO

MDR report key: 17728408 · Received September 12, 2023

Report

Report Number
1220908-2023-03499
Event Type
Malfunction
Date Received
September 12, 2023
Date of Event
July 31, 2023
Report Date
August 22, 2023
Manufacturer
ZOLL MEDICAL CORPORATION
Product Code
MKJ
PMA / PMN Number
P160022
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THE DEVICE WAS NOT RETURNED TO ZOLL MEDICAL CORPORATION FOR EVALUATION. THE CUSTOMER'S REPORT WAS NOT CONFIRMED OR REPLICATED. NO ACCESSORIES WERE RETUNRED FOR EVALUATION. THE REVIEW OF DEVICE LOG INDICATED SIGNS OF NO SIGNAL AND LOSS OF SIGNAL. THERE ARE MULTIPLE FACTORS THAT CAN AFFECT THE ECG SIGNAL INCLUDING ELECTRODE APPLICATION, PATEINT PREPARATION AND CONDITION. THERE WERE OCCURENCES WHERE THE SIGNAL IS A FLAT LINE, AND TROUBLESHOOTING OCCURRED. THE ORIGINAL ELECTRODE SIGNAL APPEARED INTERMITTENTLY, BEFORE WHAT LOOKS TO BE ELECTRODE REPLACEMENT BY THE USER. THIS SUGGESTS THAT THE ORGINIAL ELECTRODES WORKED WHEN ALL CRITERIA WAS MET. ANALYSIS OF REPORTS OF THIS TYPE HAS NOT IDENTIFIED AN INCREASE IN TREND.

Additional Manufacturer Narrative · 0

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

Description of Event or Problem · 0

COMPLAINANT ALLEGED THAT WHILE ATTEMPTING TO TREAT A PATIENT (AGE & GENDER UNKNOWN), THE DEVICE WAS UNABLE TO OBTAIN AN ECG SIGNAL VIA ELECTRODE PADS. COMPLAINANT INDICATED THAT THERE WAS NO ADVERSE EFFECT TO THE PATIENT DUE TO THE REPORTED MALFUNCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1145226 AED PRO DEFIBRILLATOR MKJ ZOLL MEDICAL CORPORATION AED PRO NA

Patients

Seq Age Sex Outcome Treatment
1 Unknown