BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PROPAQ M MONITOR

    MDR report key: 3080738 · Received April 9, 2013

    Report

    Report Number
    1220908-2013-00865
    Event Type
    Malfunction
    Date Received
    April 9, 2013
    Report Date
    March 22, 2013
    Manufacturer
    ZOLL MEDICAL CORPORATION
    Product Code
    MKJ
    PMA / PMN Number
    K102174
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    ZOLL MEDICAL CORP HAS RECEIVED THE PRODUCT AND WILL BE PROVIDING A F/U REPORT WHEN OUR INVESTIGATION IS COMPLETED.

    Description of Event or Problem · 1

    COMPLAINANT ALLEGED THAT DURING FUNCTIONAL TESTING, THE DEVICE WAS UNABLE TO COMPLETE BOOT SEQUENCE. COMPLAINANT INDICATED THAT THERE WAS NO PT INVOLVEMENT IN THE REPORTED MALFUNCTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    147914 PROPAQ M MONITOR DEFIBRILLATOR/PACEMAKER MKJ ZOLL MEDICAL CORPORATION PROPAQ M NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA