FDA Adverse Event Malfunction Summary report: N

AVIVE AED WITH AVIVE CONNECT

MDR report key: 21832245 · Received April 12, 2025

Report

Report Number
3026007685-2025-00003
Event Type
Malfunction
Date Received
April 12, 2025
Date of Event
September 9, 2024
Report Date
August 19, 2025
Manufacturer
AVIVE SOLUTIONS, INC.
Product Code
MKJ
PMA / PMN Number
P210015
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
RI, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

CUSTOMER INITIALLY REPORTED THAT THIS DEVICE WAS NOT ABLE TO DETECT A PATIENT IN A PAST EMERGENCY ON (B)(6) 2024. INVESTIGATION OF THE DEVICE LOGS ON (B)(6) 2024 CONFIRMED THE USER'S OBSERVATION THAT THE AED PLAYED THE AUDIO "PLACE THE PADS ON THE PATIENT." FROM THE LOG REVIEW, IT WAS REVEALED THAT THE PATIENT IMPEDANCE WAS OUTSIDE OF THE ACCEPTABLE IMPEDANCE RANGE FOR MOST OF THE EVENTS. MOST OF THE READINGS WERE IN THE 236 OHM - 326 OHM RANGE. THIS INDICATES THAT THE PAD CARTRIDGE WAS ATTACHED TO THE AED CORRECTLY, THE AED WAS CORRECTLY ASSESSING INCOMING DATA, BUT THAT THE PADS WERE NOT MAKING PROPER CONNECTION TO THE PATIENT. THIS CAN BE DUE TO SEVERAL FACTORS SUCH AS IMPROPER PAD PLACEMENT / ADHERENCE, DEBRIS ON THE PADS, CLOTHING INTERFERENCE, BODY SURFACE CONDITIONS SUCH AS WET SKIN OR BODY HAIR. THE DEVICE PLAYED THE EXPECTED AUDIO INSTRUCTIONS ALL CORRECTLY AND NO ERRORS WERE IDENTIFIED ON THE DEVICE AROUND THE TIME OF THE INCIDENT. THE DEVICE WAS RETURNED AND FURTHER INVESTIGATED AT AVIVE. THE PADS USED IN THE EMERGENCY WERE NOT RETURNED AND COULD NOT BE CONSIDERED IN THE INVESTIGATION. TESTING WAS PERFORMED AND CONFIRMED THAT THE DEVICE WAS SUCCESSFULLY ABLE TO DETECT A PATIENT IMPEDANCE ACROSS THE RANGE OF 25-200 OHMS, WAS ABLE TO CORRECTLY CLASSIFY SHOCKABLE OR NOT SHOCKABLE, AND ABLE TO DELIVER A SHOCK AT THE CORRECT ENERGY LEVEL WHEN APPLICABLE. IN ADDITION, THE DEVICE WAS DISASSEMBLED AND INSPECTED. THERE WERE NO DAMAGES OR ASSEMBLY/PCBAS ISSUES IDENTIFIED. THE DEVICE FUNCTION AS EXPECTED AND MET ALL ESSENTIAL PERFORMANCE WITH NO ISSUES IDENTIFIED.

Description of Event or Problem · 0

CUSTOMER REPORTED THAT WHEN USING THE AVIVE AED, THE DEVICE AUDIO INDICATED THAT IT WAS UNABLE TO DETECT A PATIENT AND CONTINUED TO PROVIDE THE INSTRUCTIONS TO PLACE THE PADS ON THE PATIENT, DESPITE THE CUSTOMER REPORTING THAT PADS WERE PLACED PROPERLY ON THE PATIENT.

Description of Event or Problem · 0

CUSTOMER REPORTED THAT WHEN USING THE AVIVE AED, THE DEVICE FAILED TO RECOGNIZE THE PATIENT CONNECTION, AND CONTINUED TO PROVIDE THE INSTRUCTIONS TO PLACE THE PADS ON THE PATIENT, DESPITE THE CUSTOMER REPORTING THAT PADS WERE PLACED PROPERLY ON THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1091418 AVIVE AED WITH AVIVE CONNECT AUTOMATED EXTERNAL DEFIBRILLATOR MKJ AVIVE SOLUTIONS, INC.

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown