FDA Adverse Event Malfunction Summary report: N

X SERIES

MDR report key: 23193092 · Received October 1, 2025

Report

Report Number
1220908-2025-03634
Event Type
Malfunction
Date Received
October 1, 2025
Date of Event
June 22, 2025
Report Date
September 17, 2025
Manufacturer
ZOLL MEDICAL CORPORATION
Product Code
MKJ
PMA / PMN Number
P160022
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

JUSTIFICATION FOR NO UDI: 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 DEVICE FOR EVALUATION AND THIS COMPLAINT IS STILL UNDER INVESTIGATION.

Additional Manufacturer Narrative · 0

THE DEVICE WAS RETURNED TO ZOLL UK FOR EVALUATION. THE REPORTED ECG MONITORING FAILURE COULD NOT BE REPLICATED. LOG REVIEW SHOWED ECG MONITORING FAILURE COINCIDING WITH AN INTERMITTENT CONNECTION OF THE MULTIFUNCTION (MFC) CABLE TO THE DEVICE. WE DID VARIOUS TESTS WITH THE RETURNED MFC CABLE AND CPRD CONNECTOR CONFIRMED, AND THE DEVICE FUNCTIONED PROPERLY. THE MFC RECEPTACLE, MFC CABLE, AND CPRD CONNECTOR WERE REPLACED AS A PRECAUTION. 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 DISPLAYED AN "ECG MONITORING FAILURE" MESSAGE. 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
2216714 X SERIES DEFIBRILLATOR/PACEMAKER MKJ ZOLL MEDICAL CORPORATION 630-2221111-05 NA

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown