FDA Adverse Event Malfunction Summary report: N

ONESTEP PEDIATRIC

MDR report key: 20938902 · Received December 16, 2024

Report

Report Number
1218058-2024-00111
Event Type
Malfunction
Date Received
December 16, 2024
Report Date
November 25, 2024
Manufacturer
BIO-DETEK INCORPORATED
Product Code
MKJ
PMA / PMN Number
P160022
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

JUSTIFICATION FOR NO UDI: THIS DEVICE HAS A UDI; SOME INFORMATION WAS NOT PROVIDED AND IS UNKNOWN; THEREFORE, A COMPLETE UDI CANNOT BE PROVIDED. ZOLL MEDICAL CORPORATION HAS NOT RECEIVED THE PRODUCT FOR EVALUATION AND THIS COMPLAINT IS STILL UNDER INVESTIGATION.

Additional Manufacturer Narrative · 0

THE DEVICE WAS NOT RETURNED TO ZOLL MEDICAL CORPORATION. INSTEAD, COMMUNICATION WITH THE CUSTOMER IDENTIFIED THE RED TABS WERE NOT UTILIZED AS ILLUSTRATED ON THE PACKAGING WHEN THE ELECTRODE PADS WERE REMOVED FROM THE STYRENE LINER. ELECTRODE PADS NEED TO BE REMOVED FROM PACKAGING IN THE PROPER SEQUENCE PER THE INSTRUCTIONS FOR USE AND THE PACKAGING ILLUSTRATIONS. THE CUSTOMER REPORTED THAT THE TEAM WAS ABLE TO APPLY PADS TO THE PATIENT AND DEFIBRILLATE. THE CUSTOMER HAS BEEN MADE AWARE OF THE APPROPRIATE METHOD TO OPEN THE ELECTRODE PADS PACKAGING. ANALYSIS OF REPORTS OF THIS TYPE HAS NOT IDENTIFIED AN INCREASE IN TREND.

Description of Event or Problem · 0

COMPLAINANT ALLEGED THAT WHILE ATTEMPTING TO DEFIBRILLATE A 21-MONTH-OLD MALE PATIENT, THE PADS WERE DAMAGED DURING REMOVAL OF PACKAGING. COMPLAINANT INDICATED THAT THE CLINICIAN WAS ABLE TO PLACE PADS BACK TOGETHER AND PROPERLY REMOVE IT FROM THE PACKAGING TO CONTINUE TREATING THE PATIENT. COMPLAINANT INDICATED THAT THERE WAS NO ADVERSE EFFECT TO THE PATIENT DUE TO THE REPORTED MALFUNCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2356074 ONESTEP PEDIATRIC ELECTRODES MKJ BIO-DETEK INCORPORATED 8900-000219-01 UNK

Patients

Seq Age Sex Outcome Treatment
1 21 MO Male