FDA Adverse Event Malfunction Summary report: N

AED PLUS

MDR report key: 6717087 · Received July 17, 2017

Report

Report Number
1220908-2017-01628
Event Type
Malfunction
Date Received
July 17, 2017
Report Date
June 27, 2017
Manufacturer
ZOLL MEDICAL CORPORATION
Product Code
MKJ
UDI-DI
00847946002152
PMA / PMN Number
K011541
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MX
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

ZOLL MEDICAL CORPORATION EVALUATED THE DEVICE AND THE DEVICE PERFORMED TO SPECIFICATION. THE CUSTOMER RECEIVED A REPLACEMENT DEVICE. REVIEW OF THE DEVICE ACTIVITY LOG INDICATED THAT THE ELECTRODE PADS WERE NOT ATTACHED TO THE DEVICE WHEN THE DEVICE WAS POWERED OFF IN NON-RESCUE MODE. THIS RESULTED IN THE DEVICE PROMPTING A "UNIT FAILED" ON THE NEXT POWER UP SESSION. OUR LABELING INDICATES THAT THE ELECTRODE PADS MUST BE CONNECTED AT ALL TIMES. REPORTS OF THIS NATURE ARE NOT CONSIDERED TO MEET OUR REQUIREMENTS FOR SUBMISSION OF A MEDWATCH REPORT. ANALYSIS OF REPORTS OF THIS TYPE HAS NOT IDENTIFIED AN INCREASE IN TREND.

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 PATIENT INVOLVEMENT IN THE REPORTED MALFUNCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
497257 AED PLUS DEFIBRILLATOR MKJ ZOLL MEDICAL CORPORATION AED PLUS NA 00847946002152

Patients

Seq Age Sex Outcome Treatment
1