FDA Adverse Event Death Summary report: N

AED PRO

MDR report key: 19728806 · Received July 12, 2024

Report

Report Number
1220908-2024-02487
Event Type
Death
Date Received
July 12, 2024
Date of Event
February 26, 2024
Report Date
June 21, 2024
Manufacturer
ZOLL MEDICAL CORPORATION
Product Code
MKJ
UDI-DI
00847946016142
PMA / PMN Number
P160022
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

ZOLL MEDICAL CORPORATION HAS RECEIVED THE PRODUCT AND WILL BE PROVIDING A SUPPLEMENTAL REPORT WHEN OUR INVESTIGATION IS COMPLETED.

Additional Manufacturer Narrative · 0

ZOLL MEDICAL CORPORATION EVALUATED THE DEVICE AND THE DEVICE PERFORMED TO SPECIFICATION. A REVIEW OF THE CLINICAL LOG FOR THE REPORTED EVENT DATE OBSERVED THE FIRST ANALYSIS EVENT HAD TWO OF THE THREE SEGMENTS NOT MATCH ANY OF THE ALGORITHMIC DEFINITIONS FOR SHOCKABLE OR NON-SHOCKABLE RHYTHMS. BOTH SEGMENTS HAD NOISE THAT COULD HAVE BEEN CAUSED BY MOTION WHICH MAY HAVE AFFECTED THE ANALYSIS RESULTS. SINCE TWO OF THE THREE SEGMENTS WERE DETERMINED TO BE NOT SHOCKABLE, THE OVERALL RESULT WAS NO SHOCK ADVISED. THE AED WORKED AS DESIGNED AND WITHIN THE LIMITATIONS OF THE TECHNOLOGY. THE DEVICE WAS RECERTIFIED AND RETURNED TO THE CUSTOMER. NO TREND IS ASSOCIATED WITH REPORTS OF THIS TYPE.

Description of Event or Problem · 0

COMPLAINANT ALLEGED THAT WHILE ATTEMPTING TO TREAT A 64 -YEAR-OLD MALE PATIENT, THE DEVICE GAVE A "NO SHOCK ADVISED" PROMPT FOR A RHYTHM CLINICIANS BELIEVED WAS SHOCKABLE. COMPLAINANT INDICATED THAT THE PATIENT SUBSEQUENTLY EXPIRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2444263 AED PRO DEFIBRILLATOR MKJ ZOLL MEDICAL CORPORATION 90010400499991010 NA 00847946016142

Patients

Seq Age Sex Outcome Treatment
1 64 YR Male Death