FDA Adverse Event Malfunction Summary report: N

X SERIES

MDR report key: 22954554 · Received September 3, 2025

Report

Report Number
1220908-2025-03261
Event Type
Malfunction
Date Received
September 3, 2025
Date of Event
August 8, 2025
Report Date
August 15, 2025
Manufacturer
ZOLL MEDICAL CORPORATION
Product Code
MKJ
PMA / PMN Number
P160022
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
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

THE DEVICE WAS RETURNED TO ZOLL MEDICAL CANADA FOR EVALUATION. THE REPORTED ISSUE OF ECG MONITORING FAILURE COULD NOT BE REPLICATED DURING EVALUATION. LOG REVIEW SHOWED ECG MONITORING EVENTS OCCURRING SIMULTANEOUSLY WITH RAPID MULTIFUNCTION CABLE (MFC) ID CHANGES, INDICATING THAT THE MULTIFUNCTION CABLE CONNECTION TO THE DEVICE WAS A FACTOR. THE DEVICE PASSED ALL FUNCTIONAL TESTING USING THE RETURNED MFC CABLE. THE MFC RECEPTACLE AND MFC CABLE WERE REPLACED AS A PRECAUTION. THE DEVICE WAS RECERTIFIED AND RETURNED TO THE CUSTOMER. ANALYSIS FOR 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 DISPLAYED AN "ECG DISABLED" MESSAGE. 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
2331750 X SERIES DEFIBRILLATOR/PACEMAKER MKJ ZOLL MEDICAL CORPORATION 620-2221011-06 NA

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown