FDA Adverse Event
Injury
Summary report: N
LIFEVEST WCD 4000 SYSTEM
MDR report key: 19214540
·
Received April 30, 2024
Report
- Report Number
- 3008642652-2024-04501
- Event Type
- Injury
- Date Received
- April 30, 2024
- Date of Event
- April 23, 2024
- Report Date
- April 30, 2024
- Manufacturer
- ZOLL MANUFACTURING CORPORATION
- Product Code
- MVK
- PMA / PMN Number
- P010030
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
NOT APPLICABLE.
Description of Event or Problem · 0
A US DISTRIBUTOR CONTACTED ZOLL TO REPORT THAT A PATIENT DEVELOPED A DIGGING INTO SKIN UNDER THE LIFEVEST EQUIPMENT. PATIENT DESCRIBED THE AREA AS INDENTATIONS FROM WIRES DIGGING INTO SKIN CAUSING DISCOMFORT AND REDNESS. THERE WAS NO ALLEGED DEVICE MALFUNCTION CONTRIBUTING TO THE IRRITATION IT'S UNCLEAR IF THE PHYSICIAN WHO SPOKE WITH SUPPORT SERVICES, PRESCRIBED ANY CREAMS OR OINTMENTS TO THE SKIN IRRITATION. REPORTING OUT OF THE ABUNDANCE OF CAUTION. FOLLOW UP INDICATED THAT THE SKIN IRRITATION IMPROVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1992904 | LIFEVEST WCD 4000 SYSTEM | WEARABLE CARDIOVERTER DEFIBRILLATOR | MVK | ZOLL MANUFACTURING CORPORATION | LIFEVEST WCD 4000 SYSTEM |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |