FDA Adverse Event Malfunction Summary report: N

ONESTEP PEDIATRIC RESUSCITATION ELECTRODE

MDR report key: 4737595 · Received April 24, 2015

Report

Report Number
1218058-2015-00008
Event Type
Malfunction
Date Received
April 24, 2015
Report Date
April 6, 2015
Manufacturer
BIO-DETEK, INC.
Product Code
MKJ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

ZOLL MEDICAL CORP HAS REC'D THE PROD AN WILL BE PROVIDING A F/U REPORT WHEN OUT INVESTIGATION IS COMPLETED.

Description of Event or Problem · 1

COMPLAINANT ALLEGED THAT DURING A ROUTINE SHIFT CHECK BY A CLINICIAN, THE ELECTRODES CAUSED THE ASSOCIATED DEFIBRILLATOR TO DISPLAY A "CHECK PADS" MESSAGE. COMPLAINANT INDICATED THAT THERE WAS NO PT INVOLVEMENT TO THE REPORTED MALFUNCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
271679 ONESTEP PEDIATRIC RESUSCITATION ELECTRODE ELECTRODE MKJ BIO-DETEK, INC. 8900-0215 1114

Patients

Seq Age Sex Outcome Treatment
1 NA