BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ZOLL MEDICAL CORPORATION

    MDR report key: 751956 · Received August 5, 2005

    Report

    Report Number
    MW1036258
    Event Type
    Malfunction
    Date Received
    August 5, 2005
    Date of Event
    July 28, 2005
    Report Date
    August 1, 2005
    Manufacturer
    ZOLL MEDICAL CORPORATION
    Product Code
    MKJ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IN, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING DAILY MONITOR DEFIBRILLATOR CHECK IN RADIOLOGY, MONITOR SCREEN WOULD NOT DISPLAY. UNIT HAD BEEN DEPLOYED TO RADIOLOGY < 30 DAYS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZOLL MEDICAL CORPORATION DEFIBRALLATOR MONITOR MKJ ZOLL MEDICAL CORPORATION ACLS (BP) *

    Patients

    Seq Age Sex Outcome Treatment
    1 NA