FDA Adverse Event Death Summary report: N

AED PLUS

MDR report key: 960639 · Received December 5, 2007

Report

Report Number
1220908-2007-02652
Event Type
Death
Date Received
December 5, 2007
Date of Event
November 17, 2007
Report Date
November 17, 2007
Manufacturer
ZOLL MEDICAL CORPORATION
Product Code
MKJ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
VM
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

ZOLL MEDICAL CORP HAS NOT REC'D THE DEVICE FOR EVAL, AND THIS COMPLAINT IS STILL UNDER INVESTIGATION.

Description of Event or Problem · 1

COMPLAINANT ALLEGED THAT WHILE ATTEMPTING TO TREAT A PT (AGE & GENDER UNKNOWN), THE DEVICE PROMPTED A "NO SHOCK DELIVERED" MESSAGE. COMPLAINANT INDICATED THAT THE CLINICIAN OBTAINED ANOTHER DEVICE TO CONTINUE TREATING THE PT. COMPLAINANT INDICATED THAT THE PT SUBSEQUENTLY EXPIRED.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 UNK YR Death