FDA Adverse Event Malfunction Summary report: N

AED PLUS

MDR report key: 3830238 · Received May 12, 2014

Report

Report Number
1220908-2014-01174
Event Type
Malfunction
Date Received
May 12, 2014
Report Date
April 24, 2014
Manufacturer
ZOLL MEDICAL CORPORATION
Product Code
MKJ
PMA / PMN Number
K011541
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

ZOLL MED CORP HAS RECEIVED THE PRODUCT AND WILL BE PROVIDING A FOLLOW-UP REPORT WHEN OUR INVESTIGATION IS COMPLETED.

Description of Event or Problem · 1

COMPLAINANT ALLEGED THAT DURING FUNCTIONAL TESTING, THE DEVICE PROMPTED A "UNIT FAILED" MESSAGE. COMPLAINANT INDICATED THAT THERE WAS NO PT INVOLVEMENT IN THE REPORTED MALFUNCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
283304 AED PLUS DEFIBRILLATOR MKJ ZOLL MEDICAL CORPORATION AED PLUS NA

Patients

Seq Age Sex Outcome Treatment
1 NA