FDA Adverse Event Malfunction Summary report: N

ONESTEP CPR (AA) ELECTRODES

MDR report key: 1881312 · Received October 18, 2010

Report

Report Number
1220908-2010-02913
Event Type
Malfunction
Date Received
October 18, 2010
Date of Event
September 28, 2010
Report Date
September 29, 2010
Manufacturer
ZOLL MEDICAL CORPORATION
Product Code
MLN
Product Problem
Yes
Report Source
Manufacturer report
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 THAT DURING A ROUTINE SHIFT CHECK BY A CLINICIAN, THE DEVICE FAILED SELF TEST. COMPLAINANT INDICATED THAT THERE WAS NO PT INVOLVEMENT IN THE REPORTED MALFUNCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ONESTEP CPR (AA) ELECTRODES ELECTRODE MLN ZOLL MEDICAL CORPORATION 8900-0217-XX 1010

Patients

Seq Age Sex Outcome Treatment
1 NA