FDA Adverse Event
Malfunction
Summary report: N
ELECTRODES, ONESTEP COMPLETE
MDR report key: 4954418
·
Received July 24, 2015
Report
- Report Number
- 1218058-2015-00044
- Event Type
- Malfunction
- Date Received
- July 24, 2015
- Report Date
- July 7, 2015
- Manufacturer
- BIO-DETEK, INC.
- Product Code
- MKJ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- HI, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
ZOLL MEDICAL CORPORATION HAS NOT RECEIVED THE DEVICE FOR EVALUATION AND THIS COMPLAINT IS STILL UNDER INVESTIGATION.
Additional Manufacturer Narrative · 1
THE COMPLAINANT WAS CONTACTED FOR RETURN OF T HE ELECTRODES. THE CUSTOMER HAS RESPONDED AND INDICATED THE ELECTRODE PADS WERE DISCARDED AND ARE NOT AVAILABLE.
Description of Event or Problem · 1
COMPLAINANT ALLEGED THAT THE ELECTRODES DO NOT ADHERE TO THE SKIN VERY WELL. 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 |
|---|---|---|---|---|---|---|---|
| 484039 | ELECTRODES, ONESTEP COMPLETE | ELECTRODE | MKJ | BIO-DETEK, INC. | 8900-0224-01 | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |