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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZOLL MEDICAL CORPORATION MULTI-FUNCTION RADIOTRANSPARENT DEFIBRILLATOR ELECTRODE; AUTOMATED EXTERNAL DEFIBRILLATORS (NON-WEARABLE)

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ZOLL MEDICAL CORPORATION MULTI-FUNCTION RADIOTRANSPARENT DEFIBRILLATOR ELECTRODE; AUTOMATED EXTERNAL DEFIBRILLATORS (NON-WEARABLE) Back to Search Results
Catalog Number MDSZOL200
Patient Problem Skin Discoloration (2074)
Event Date 06/02/2023
Event Type  Injury  
Event Description
Patient was undergoing a cardioversion when the staff heard a loud popping noise and smelled burning.Upon inspection, the patient had three blue marks on their chest under the pads.It is believed that the sternal wires conducted the current causing arcing.Medline.
 
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Brand Name
MULTI-FUNCTION RADIOTRANSPARENT DEFIBRILLATOR ELECTRODE
Type of Device
AUTOMATED EXTERNAL DEFIBRILLATORS (NON-WEARABLE)
Manufacturer (Section D)
ZOLL MEDICAL CORPORATION
MDR Report Key17371533
MDR Text Key319568861
Report NumberMW5119770
Device Sequence Number1
Product Code MKJ
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Nurse
Type of Report Initial
Report Date 07/14/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue NumberMDSZOL200
Device Lot NumberY030623-01
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received Not provided
Initial Date FDA Received07/19/2023
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Age79 YR
Patient SexMale
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