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 |