FDA Adverse Event
Malfunction
Summary report: N
M SERIES
MDR report key: 264580
·
Received February 17, 2000
Report
- Report Number
- 1220908-2000-00190
- Event Type
- Malfunction
- Date Received
- February 17, 2000
- Report Date
- January 18, 2000
- Manufacturer
- ZOLL MEDICAL CORP.
- Product Code
- KRF
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NC, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Description of Event or Problem · 1
THE COMPLAINANT ALLEGED THAT DURING A BIOMEDS ROUTINE TESTING THEY REC'D PACER FAULTS 122, 123, AND 126. THE COMPLAINANT INDICATED THAT THERE WAS NO PT INVOLVEMENT WITH THIS REPORTED INCIDENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | M SERIES | DEFIBRILLATOR/PACEMAKER | KRF | ZOLL MEDICAL CORP. | MSERIES | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Other |