FDA Adverse Event
Injury
Summary report: N
ZOLL
MDR report key: 3779636
·
Received April 22, 2014
Report
- Report Number
- 3779636
- Event Type
- Injury
- Date Received
- April 22, 2014
- Date of Event
- March 28, 2014
- Report Date
- April 22, 2014
- Manufacturer
- ZOLL MEDICAL CORP
- Product Code
- MKJ
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
WHILE PERFORMING CPR ON A CARDIAC ARREST PT THE ZOLL MONITOR WAS CHARGED TO 200 JOULES, THE SHOCK BUTTON WAS PRESSED AND THE MONITOR MADE "BONKING" SOUND. THEIR WAS NO EVIDENCE THE PT RECEIVED A SHOCK. THIS WAS REPEATED ONE MORE TIME AND WITH THE SAME RESULTS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 244521 | ZOLL | ZOLL X SERIES | MKJ | ZOLL MEDICAL CORP | X SERIES | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 65 YR | Life Threatening| O |