MAUDE Adverse Event Report: ZOLL MEDICAL CORPORATION MSERIES; DEFIBRILLATOR/PACEMAKER

Model Number MSERIES

Device Problem Failure to Deliver Shock/Stimulation (1133)

Patient Problem No Patient Involvement (2645)

Event Type  malfunction  

Manufacturer Narrative

Zoll medical corporation has not received the device for evaluation and this complaint is still under investigation.

Event Description

Complainant alleged that during functional testing, the device failed to discharge using external paddles.Complainant indicated that there was no patient involvement in the reported malfunction.

Manufacturer Narrative

The device was not returned to zoll medical corporation; the device's paddles were returned.The customer's report was duplicated and attributed to a faulty button spring for the shock button on the paddles.The customer received a set of replacement paddles.Analysis for reports of this type has not identified an increase in trend.

Manufacturer Narrative

The device was returned to zoll medical (b)(4); the customer's report was duplicated and attributed to the external paddle set.A replacement paddle set was sent to the customer.Analysis for reports of this type has not identified an increase in trend.

• Brand Name: MSERIES
• Type of Device: DEFIBRILLATOR/PACEMAKER
• Manufacturer (Section D): ZOLL MEDICAL CORPORATION; 269 mill road; chelmsford MA 01824
• Manufacturer Contact: 269 mill road; chelmsford, MA 01824 ; 9784219552
• MDR Report Key: 9660380
• MDR Text Key: 177533313
• Report Number: 1220908-2020-00285
• Device Sequence Number: 1
• Product Code: LDD
• Combination Product (y/n): N
• Reporter Country Code: TW
• PMA/PMN Number: K972241
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: foreign
• Reporter Occupation: Other
• Type of Report: Initial,Followup,Followup
• Report Date: 01/13/2020

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 02/03/2020
• Is this a Product Problem Report?: Yes
• Device Operator: Other
• Device Model Number: MSERIES
• Device Catalogue Number: MSERIES
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: No
• Was the Report Sent to FDA?: No
• Date Manufacturer Received: 01/13/2020
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Is the Device Single Use?: No
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Reuse
• Patient Sequence Number: 1