FDA Adverse Event
Injury
Summary report: N
ZOLL
MDR report key: 23253347
·
Received October 9, 2025
Report
- Report Number
- MW5177088
- Event Type
- Injury
- Date Received
- October 9, 2025
- Date of Event
- October 1, 2025
- Report Date
- October 6, 2025
- Manufacturer
- ZOLL MEDICAL CORPORATION
- Product Code
- MKJ
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MI, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
PATIENT CODED IN ASSISTED LIVING ROOM. STAFF GRABBED THE ZOLL AUTOMATED EXTERNAL DEFIBRILLATOR (AED) 3, AED AVAILABLE AND PLACED PADS ON PATIENT. AED PADS, CPR (CARDIOPULMONARY RESUSCITATION)-D-PADZ WOULD NOT ADHERE TO PATIENT. THE EXPIRATION DATE ON THE PADS ARE 5-12-2027 LOT # 0722A. PATIENT WAS NOT SWEATY, OR POWDERED, HAD FLAKY SKIN. EMERGENCY MEDICAL SERVICES (EMS) ARRIVED WITH IN A COUPLE MINUTES AND PLACED ZOLL X SERIES PADPRO CONMED HANDS FREE PADS ON PATIENT AND THEY ADHERED WITHOUT ISSUE. PATIENT WAS TRANSFERRED TO EMERGENCY ROOM (ER) AND THEN EXPIRED. AED 3 WAS TESTED PRIOR TO USE AND THEN AFTER AND WAS IN GOOD WORKING ORDER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2617012 | ZOLL | AUTOMATED EXTERNAL DEFIBRILLATORS (NON-WEARABLE) | MKJ | ZOLL MEDICAL CORPORATION | AED 3 | 0722A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Life Threatening | CPR-D-PADZ. |