FDA Adverse Event
Malfunction
Summary report: N
AED PRO
MDR report key: 3063238
·
Received February 26, 2013
Report
- Report Number
- 1220908-2013-00412
- Event Type
- Malfunction
- Date Received
- February 26, 2013
- Report Date
- February 5, 2013
- Manufacturer
- ZOLL MEDICAL CORPORATION
- Product Code
- MKJ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
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 DURING FUNCTIONAL TESTING, THE ELECTRODES PADZ OF THE ASSOCIATED DEFIBRILLATOR WOULD NOT CONNECT TO THE MULTI-FUNCTION SIGNAL CABLE. COMPLAINANT INDICATED THAT THERE WAS NO PATIENT INVOLVEMENT IN THE REPORTED MALFUNCTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 83173 | AED PRO | DEFIBRILLATOR PACEMAKER | MKJ | ZOLL MEDICAL CORPORATION | AED PRO | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |