BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    M SERIES

    MDR report key: 361034 · Received November 8, 2001

    Report

    Report Number
    1220908-2001-01586
    Event Type
    Malfunction
    Date Received
    November 8, 2001
    Report Date
    October 10, 2001
    Manufacturer
    ZOLL MEDICAL CORP.
    Product Code
    MKJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    DURING A ROUTINE SHIFT CHECK OF THE DEVICE BY A CLINICIAN, NOTICED AN ERROR MESSAGE INVOLVING THE PADDLES BUT NOT CLEAR WHAT IT WAS ANYMORE. PERFORMED SOME TROUBLESHOOTING AND BELIEVE IT IS THE UNIVERSAL CABLE. THE COMPLAINANT INDICATED THAT THERE WAS NO PT INVOLVEMENT IN THE REPORTED MALFUNCTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    49829 M SERIES DEFIBRILLATOR/PACEMAKER MKJ ZOLL MEDICAL CORP. MSERIES NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other