Model Number X SERIES |
Device Problem
Incorrect Interpretation of Signal (1543)
|
Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
|
Event Date 02/10/2023 |
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 while attempting to cardiovert a male patient (age unknown), the device gave a "no shock advised" prompt for a rhythm clinicians believed was shockable.Complainant indicated that there was no adverse effect to the patient due to the reported malfunction.
|
|
Manufacturer Narrative
|
The device was not returned to zoll medical corporation for evaluation.Instead, the clinical event file was provided.Review of the clinical files concluded that the algorithm delivered correct results for 9 of the 10 analyses performed.Analysis 5 returned a result of no shock advised due to segments 2 and 3 having a very low average voltage of 331 microvolts and 223 microvolts.The algorithm had difficulty with segment 3 and was unable to calculate rate and the average width of the waveform cycles.Based on our review of the data we have concluded that the analysis result was due to the limiations of the technology.Analysis of reports of this type has not identified an increase in trend.
|
|
Search Alerts/Recalls
|