BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CPR-D PADZ

    MDR report key: 3905181 · Received June 10, 2014

    Report

    Report Number
    1220908-2014-01399
    Event Type
    Malfunction
    Date Received
    June 10, 2014
    Report Date
    May 23, 2014
    Manufacturer
    ZOLL MEDICAL CORPORATION
    Product Code
    MKJ
    PMA / PMN Number
    K011541
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    ZOLL MEDICAL CORPORATION HAS NOT RECEIVED THE PRODUCT FOR EVALUATION AND THIS COMPLAINT IS STILL UNDER INVESTIGATION.

    Description of Event or Problem · 1

    COMPLAINANT ALLEGED THAT DURING FUNCTIONAL TESTING, THE ASSOCIATED DEVICE DISPLAYED A "RED X" WHILE USING THIS SET OF ELECTRODE PADS. COMPLAINANT DID NOT INDICATE THAT THERE WAS ANY PATIENT INVOLVEMENT IN THE REPORTED MALFUNCTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    338891 CPR-D PADZ ELECTRODE MKJ ZOLL MEDICAL CORPORATION 8900-0800 3713

    Patients

    Seq Age Sex Outcome Treatment
    1 NA