FDA Adverse Event
Malfunction
Summary report: N
PD1200 DEFIBRILLATOR/PACEMAKER
MDR report key: 2030270
·
Received March 21, 2011
Report
- Report Number
- 1220908-2011-00703
- Event Type
- Malfunction
- Date Received
- March 21, 2011
- Report Date
- March 3, 2011
- Manufacturer
- ZOLL MEDICAL CORPORATION
- Product Code
- LDD
- PMA / PMN Number
- K873402
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- 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 DISPLAYED AN "ERROR 44" MESSAGE. COMPLAINANT INDICATED THAT THERE WAS NO PATIENT INVOLVEMENT IN THE REPORTED MALFUNCTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PD1200 DEFIBRILLATOR/PACEMAKER | DEFIBRILLATOR | LDD | ZOLL MEDICAL CORPORATION | PD1200 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |