FDA Adverse Event Malfunction Summary report: N

X SERIES

MDR report key: 21336802 · Received February 7, 2025

Report

Report Number
1220908-2025-00502
Event Type
Malfunction
Date Received
February 7, 2025
Date of Event
January 8, 2025
Report Date
January 24, 2025
Manufacturer
ZOLL MEDICAL CORPORATION
Product Code
MKJ
PMA / PMN Number
P160022
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THIS DEVICE WAS MANUFACTURED BUT NOT DOMESTICALLY DISTRIBUTED; IT IS ONLY DISTRIBUTED IN THE INTENDED GEOGRAPHY. THERE IS NO EXISTING UDI REGULATION. ZOLL MEDICAL CORPORATION HAS NOT RECEIVED THE PRODUCT FOR EVALUATION AND THIS COMPLAINT IS STILL UNDER INVESTIGATION.

Additional Manufacturer Narrative · 0

ZOLL MEDICAL CORPORATION EVALUATED THE DEVICE AND THE DEVICE PERFORMED TO SPECIFICATION. THE LOGS WERE REVIEWED FOR THE REPORTED EVENT DATE AND SHOWED CHARGE ATTEMPTS WHERE THE DEVICE WAS FULLY CHARGED AFTER EIGHT SECONDS AND THEN 20 SECONDS. ALL CHARGES WERE WITHIN THE 25 SECOND SPECIFICATION FOR A DEVICE OPERATING ON BATTERY POWER AS SPECIFIED BY THE OPERATOR'S GUIDE (93650-002355-01, REV: G). THE DEVICE WAS RECERTIFIED AND RETURNED TO THE CUSTOMER. 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 TREAT A PATIENT (AGE & GENDER UNKNOWN), THE DEVICE TOOK AN EXTENDED TIME TO CHARGE TO 150J. COMPLAINANT DID NOT INDICATE THAT THERE WAS ANY ADVERSE EFFECT TO THE PATIENT DUE TO THE REPORTED MALFUNCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
867044 X SERIES DEFIBRILLATOR/PACEMAKER MKJ ZOLL MEDICAL CORPORATION 610-2231011-02 NA

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown