FDA Adverse Event Injury Summary report: N

LIFEVEST WCD 4000 SYSTEM

MDR report key: 19959844 · Received August 12, 2024

Report

Report Number
3008642652-2024-08199
Event Type
Injury
Date Received
August 12, 2024
Date of Event
July 29, 2024
Report Date
August 12, 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'S PRE-EXISTING CONDITION OF A STERNOTOMY WAS EXACERBATED BY THE LIFEVEST EQUIPMENT. PATIENT DESCRIBED THE AREA AS A HOLE CREATED ON STERNOTOMY SCAR FROM CLASPS DIGGING INTO THE PATIENT¿S SKIN. THERE WAS NO ALLEGED DEVICE MALFUNCTION CONTRIBUTING TO THE IRRITATION. THE PATIENT¿S WOUND CARE SPECIALIST APPLIED MEDICATION TO THE AREA AND APPLIED A SOCK AROUND THE CLASP TO PREVENT IT FROM DIGGING INTO AND RUBBING THE SKIN. THE PATIENT WAS TESTED FOR STAPH INFECTIONS, BUT THE TESTS WERE INCONCLUSIVE. FOLLOW UP INDICATED THAT THE SKIN IRRITATION IMPROVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1724015 LIFEVEST WCD 4000 SYSTEM WEARABLE CARDIOVERTER DEFIBRILLATOR MVK ZOLL MANUFACTURING CORPORATION LIFEVEST WCD 4000 SYSTEM

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown