Model Number WCD 4000 |
Device Problems
Signal Artifact/Noise (1036); Over-Sensing (1438); Inappropriate/Inadequate Shock/Stimulation (1574); Use of Device Problem (1670)
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Patient Problems
Death (1802); Loss of consciousness (2418); Shock from Patient Lead(s) (3162)
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Event Date 07/27/2020 |
Event Type
Death
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Manufacturer Narrative
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Device evaluation of monitor sn (b)(4) and electrode belt sn (b)(4) has been completed.The reported problem (patient death) was confirmed.The evaluation included review of downloaded software flag files on the day of the event and incoming functional testing.During the incoming functional testing, a 1hz simulated normal sinus rhythm signal was applied to the ecg electrodes, followed by a 5hz simulated treatable arrhythmia signal which verified proper performance of the detection algorithm.During the transition to the 5hz signal, the device was confirmed to properly enter into a treatment sequence which includes a verification of the tactile vibration alarm, audio messaging, and siren alarms, as well as a test of the pulse delivery circuitry.The pulse delivery circuitry test verified proper charging of the high voltage capacitors and proper delivery of five full energy 150j biphasic pulses.The functional testing confirmed proper response button functionality, ecg acquisition, detection algorithm performance, and pulse delivery functionality.There is no indication of a product malfunction.Device manufacturer date: monitor: 08/17/2016, electrode belt: 06/02/2010.
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Event Description
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A us distributor contacted zoll to report that a patient passed away while wearing the lifevest on (b)(6) 2020.The patient was unconscious and in a rehab center at the time of passing.It was also reported that the device was alarming and resuscitation efforts were attempted.Review of the download data, indicates the patient received five shocks in response to oversensing of low cardiac signal and cpr/motion artifact.The patient was in cpr/motion artifact during treatment one, two, four, and five at 11:01:19, 11:01:43, 11:04:24, and 11:05:00, and the post-shock rhythm for the treatments was asystole with cpr/motion artifact.Treatment three occurred at 11:03:56 while the patient's rhythm and post-shock rhythm was asystole with cpr/motion artifact.The response buttons were not pressed during the event.The patient passed away on (b)(6) 2020 at approximately 11:30am.
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Search Alerts/Recalls
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