FDA Adverse Event
Malfunction
Summary report: N
G3 PLUS AUTO, AED, AHA 2010, US ENGLISH
MDR report key: 9683153
·
Received February 7, 2020
Report
- Report Number
- 2112020-2020-00037
- Event Type
- Malfunction
- Date Received
- February 7, 2020
- Report Date
- January 17, 2020
- Manufacturer
- CARDIAC SCIENCE CORPORATION
- Product Code
- MKJ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
THIS REPORT WAS INADVERTENTLY SUBMITTED AS A DUPLICATE. PLEASE REFER TO MEDWATCH 2112020-2020-00085 FOR THE INVESTIGATION RESULTS.
Additional Manufacturer Narrative · 1
ZOLL MEDICAL CORPORATION HAS NOT RECEIVED THE DEVICE FOR EVALUATION AND THIS COMPLAINT IS STILL UNDER INVESTIGATION.
Description of Event or Problem · 1
COMPLAINANT ALLEGED THAT DURING FUNCTIONAL TESTING, THE DEVICE WAS UNABLE TO OBTAIN AN ECG SIGNAL VIA ELECTRODE PADS. COMPLAINANT INDICATED THAT THERE WAS NO PATIENT INVOLVEMENT IN THE REPORTED MALFUNCTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 146623 | G3 PLUS AUTO, AED, AHA 2010, US ENGLISH | AUTOMATED EXTERNAL DEFIBRILLATOR | MKJ | CARDIAC SCIENCE CORPORATION | 9390A-1001 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |