FDA Adverse Event Malfunction Summary report: N

R SERIES

MDR report key: 23351671 · Received October 21, 2025

Report

Report Number
1220908-2025-04071
Event Type
Malfunction
Date Received
October 21, 2025
Report Date
October 20, 2025
Manufacturer
ZOLL MEDICAL CORPORATION
Product Code
MKJ
UDI-DI
00847946017521
PMA / PMN Number
P160022
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THE DEVICE WAS EVALUATED BY ZOLL MEDICAL CORPORATION. THE CUSTOMER'S REPORT WAS DUPLICATED AND ATTRIBUTED TO A DAMAED ECG CONNECTOR AND ECG FLEX CABLE. THE ECG CONNECTOR AND ECG FLEX CABLE WILL BE REPLACED TO RESOLVE THE REPORT. THE DEVICE WILL BE RECERTIFIED AND RETURNED TO THE CUSTOMER. ANALYSIS OF REPORTS OF THIS TYPE HAS NOT IDENTIFIED AN INCREASE IN TREND.

Additional Manufacturer Narrative · 0

ZOLL MEDICAL CORPORATION HAS RECEIVED THE PRODUCT AND WILL BE PROVIDING A SUPPLEMENTAL REPORT WHEN OUR INVESTIGATION IS COMPLETED.

Description of Event or Problem · 0

COMPLAINANT ALLEGED THAT DURING FUNCTIONAL TESTING, THE DEVICE WAS UNABLE TO OBTAIN AN ECG SIGNAL VIA ELECTRODE PADS. COMPLAINANT DID NOT INDICATE THAT THERE WAS ANY PATIENT INVOLVEMENT IN THE REPORTED MALFUNCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
254066 R SERIES DEFIBRILLATOR/PACEMAKER MKJ ZOLL MEDICAL CORPORATION 30001005201310012 NA 00847946017521

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown