BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    M SERIES

    MDR report key: 1821727 · Received August 25, 2010

    Report

    Report Number
    1220908-2010-02313
    Event Type
    Malfunction
    Date Received
    August 25, 2010
    Report Date
    August 5, 2010
    Manufacturer
    ZOLL MEDICAL CORPORATION
    Product Code
    MKJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

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

    Description of Event or Problem · 1

    COMPLAINANT ALLEGED THE DEVICE SUCCESSFULLY DISCHARGED ON THE FIRST ATTEMPT AND SUBSEQUENTLY TOOK OVER TWO MINS TO DISCHARGE AND THE DEVICES DISPLAYED SEVERAL UNK ERROR MESSAGES. COMPLAINANT DID NOT INDICATE THAT THERE WAS PT INVOLVEMENT IN THE REPORTED MALFUNCTION.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 NA