FDA Adverse Event Malfunction Summary report: N

ONESTEP PEDIATRIC ELECTRODES

MDR report key: 6292254 · Received February 1, 2017

Report

Report Number
6292254
Event Type
Malfunction
Date Received
February 1, 2017
Date of Event
January 12, 2017
Report Date
January 18, 2017
Manufacturer
ZOLL MEDICAL CORPORATION
Product Code
MKJ
Product Problem
Yes
Report Source
User Facility report
Reporter Location
UT, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

CODE WAS CALLED ON PATIENT IN AFTERNOON. WHEN I ARRIVED, I PLACED THE ZOLL PADS ON THE PATIENT WHO WAS ALREADY RECEIVING COMPRESSIONS. ONCE I CONNECTED THE PADS TO THE DEFIBRILLATOR. I NOTICED IT WAS NOT READING A DEPTH OR A RATE OF COMPRESSIONS. I LET THE FELLOW AND ATTENDING KNOW. THEY SAID OK, WE HAVE A PULSE WITH COMPRESSIONS WILL HAVE TO GO OFF OF THAT. THE PATIENT CODED AGAIN 30 MINUTES LATER. THE SAME PADS WERE STILL ON THE PATIENT, SO I CONNECTED THEM TO THE SAME DEFIBRILLATOR AND THIS TIME IT WAS READING A DEPTH AND RATE. THE ONLY DIFFERENCE I OBSERVED WAS THAT THE FIRST NURSE WAS USING THE ENCIRCLING TECHNIQUE FOR COMPRESSIONS AND THE SECOND TIME, WHICH WAS A DIFFERENT NURSE, WAS USING THE ONE HAND TECHNIQUE. MANUFACTURER RESPONSE FOR MULTIFUNCTION ELECTRODE TO USE WITH THE ZOLL DEFIBRILLATOR, ONE STEP PEDIATRIC CPR (PER SITE REPORTER): LOCAL REP HAS BEEN NOTIFIED WITH EMAIL "1/48/2017."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
77281 ONESTEP PEDIATRIC ELECTRODES AUTOMATED EXTERNAL DEFIBRILLATORS (NON-WEARABLE) MKJ ZOLL MEDICAL CORPORATION NOT KNOWN

Patients

Seq Age Sex Outcome Treatment
1