FDA Adverse Event Malfunction Summary report: N

R SERIES

MDR report key: 23143862 · Received September 25, 2025

Report

Report Number
1220908-2025-03609
Event Type
Malfunction
Date Received
September 25, 2025
Date of Event
September 9, 2025
Report Date
September 12, 2025
Manufacturer
ZOLL MEDICAL CORPORATION
Product Code
MKJ
PMA / PMN Number
P160022
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FI
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

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

Additional Manufacturer Narrative · 0

ZOLL MEDICAL FINLAND EVALUATED THE DEVICE AND THE CUSTOMER'S REPORT WAS NOT DUPLICATED. WE SUSPECT THE MULTIFUNCTION CABLE (MFC) DAMAGE WAS A FACTOR, BUT FUNCTIONAL. THE MFC WAS REPLACED AS A PRECAUTION. THE DEVICE WAS RECERTIFIED AND RETURNED TO THE CUSTOMER. ZOLL MEDICAL CORPORATION RECEIVED THE MFC USED DURING THE REPORTED EVENT. THE MFC WAS TESTED WITH A KNOWN GOOD DEVICE AND PASSED ALL FUNCTIONAL TESTING. IT'S IMPORTANT TO NOTE THE CABLE SHOULD BE VISUALLY INSPECTED AS PART RECOMMENDED DAILY VISUAL INSPECTION AND REPLACED IF DAMAGED. NO TREND IS ASSOCIATED WITH REPORTS OF THIS TYPE.

Description of Event or Problem · 0

COMPLAINANT ALLEGED THAT WHILE ATTEMPTING TO TREAT A PATIENT (AGE & GENDER UNKNOWN), THE ELECTRODE PAD OF THE ASSOCIATED DEFIBRILLATOR WOULD NOT CONNECT TO THE MULTI-FUNCTION CABLE. 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
2394339 R SERIES DEFIBRILLATOR/PACEMAKER MKJ ZOLL MEDICAL CORPORATION 30000000001130212 NA

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown