FDA Adverse Event
Death
Summary report: N
R SERIES
MDR report key: 23747570
·
Received December 8, 2025
Report
- Report Number
- 1220908-2025-04571
- Event Type
- Death
- Date Received
- December 8, 2025
- Date of Event
- November 14, 2025
- Report Date
- November 17, 2025
- Manufacturer
- ZOLL MEDICAL CORPORATION
- Product Code
- MKJ
- UDI-DI
- 00847946017309
- PMA / PMN Number
- P160022
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
THE DEVICE WAS RETURNED TO ZOLL AND WAS EVALUATED ALONG WITH THE MFC CABLE FROM THE ALLEGED EVENT. THE DEVICE LOG WAS REVIEWED AND DOES NOT SUGGEST ANY ATTEMPTS BY THE USER TO CHARGE OR USE THE DEVICE ON THE DATE OF TEH EVENT. THE CUSTOMER CONFIRMED THIS WAS THE CORRECT DEVICE THAT WAS RETURNED. THE DEVICE PASSED ALL TESTING SUCCESSFULLY. 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 FAILED TO DISCHARGE. COMPLAINANT INDICATED THAT THE CLINICIAN OBTAINED ANOTHER DEVICE TO CONTINUE TREATING THE PATIENT. COMPLAINANT INDICATED THAT THE PATIENT SUBSEQUENTLY EXPIRED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2774928 | R SERIES | DEFIBRILLATOR/PACEMAKER | MKJ | ZOLL MEDICAL CORPORATION | 30001001001130013 | NA | 00847946017309 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Death |