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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZOLL MEDICAL CORPORATION MODEL EAGLE II, MRI; VENTILATOR

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ZOLL MEDICAL CORPORATION MODEL EAGLE II, MRI; VENTILATOR Back to Search Results
Model Number 799-EGL2-02-01
Medical Device Problem Code Communication or Transmission Problem (2896)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The device was returned to zoll medical corporation for evaluation.The customer's report was observed during review of the device data logs.However, the device was put through extensive testing without duplicating the report.The device was recertified and returned to the customer.Analysis of reports of this type has not identified an increase in trend.
 
Event or Problem Description
Complainant alleged that during biomed testing, the device displayed an "internal comm failure- 1474" and "internal comm failure - 1472" error messages.Complainant indicated that there was no patient involvement in the reported malfunction.
 
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Brand Name
MODEL EAGLE II, MRI
Common Device Name
VENTILATOR
Manufacturer (Section D)
ZOLL MEDICAL CORPORATION
269 mill road
chelmsford MA 01824
Manufacturer Contact
scott august
269 mill road
chelmsford, MA 01824
9784219552
MDR Report Key23360261
Report Number1220908-2025-03806
Device Sequence Number12965705
Product Code CBK
UDI-Device Identifier00847946023454
UDI-Public(01)00847946023454
Combination Product (Y/N)N
Initial Reporter StateID
Initial Reporter CountryUS
PMA/510(K) Number
K162832
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Initial Reporter Occupation Other
Type of Report Initial
Report Date (Section B) 10/01/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Other
Device Model Number799-EGL2-02-01
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer10/13/2025
Was the Report Sent to FDA? No
Initial Date Received by Manufacturer 10/01/2025
Initial Report FDA Received Date10/22/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured09/01/2018
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
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