FDA Adverse Event Malfunction Summary report: N

AUTOCLAVABLE INTERNAL HANDLES, MOLDED

MDR report key: 2883432 · Received November 13, 2012

Report

Report Number
1220908-2012-03058
Event Type
Malfunction
Date Received
November 13, 2012
Report Date
October 26, 2012
Manufacturer
ZOLL MEDICAL CORPORATION
Product Code
LDD
PMA / PMN Number
K032691
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

ZOLL MEDICAL CORPORATION HAS NOT RECEIVED THE DEVICE FOR EVALUATION AND THIS COMPLAINT IS STILL UNDER INVESTIGATION.

Description of Event or Problem · 1

COMPLAINANT ALLEGED THAT THE ASSOCIATED DEFIBRILLATOR WAS UNABLE TO DETECT THE ATTACHED PADDLES. COMPLAINANT INDICATED THAT THERE WAS NO PT INVOLVEMENT IN THE REPORTED MALFUNCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 AUTOCLAVABLE INTERNAL HANDLES, MOLDED AUTOCLAVABLE INTERNAL HANDLES, MOLDED LDD ZOLL MEDICAL CORPORATION 1011-0140-02 NA

Patients

Seq Age Sex Outcome Treatment
1 NA