FDA Adverse Event Malfunction Summary report: N

PROPAQ MD DEFIBRILLATOR

MDR report key: 3012480 · Received February 19, 2013

Report

Report Number
1220908-2013-00357
Event Type
Malfunction
Date Received
February 19, 2013
Report Date
January 31, 2013
Manufacturer
ZOLL MEDICAL CORPORATION
Product Code
LDD
PMA / PMN Number
K100654
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
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 WHILE ATTEMPTING TO (--) A PATIENT. THE DEVICES DISPLAY WAS NOT LEGIBLE. COMPLAINANT INDICATED THAT THERE WAS NO PATIENT INVOLVEMENT IN THE REPORTED MALFUNCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
73217 PROPAQ MD DEFIBRILLATOR DEFIBRILLATOR/PACEMAKER LDD ZOLL MEDICAL CORPORATION PROPAQ MD NA

Patients

Seq Age Sex Outcome Treatment
1 UNK