AUTOCLAVABLE INTERNAL HANDLES WITH INTEGRATED PADDLES 8011-0139-04

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-01-18 for AUTOCLAVABLE INTERNAL HANDLES WITH INTEGRATED PADDLES 8011-0139-04 manufactured by Zoll Medical Corporation.

Event Text Entries

[133482152] Adult internal defibrillator paddles did not function correctly. The button activation on the handpiece did not work and the set could not be used during cardiac surgery. A second set was obtained. The surgeon cut the cable, so they would not be reprocessed, so testing is hampered. Manufacturer response for autoclavable internal handles with integrated paddles, zoll (per site reporter). They will analyze for reported defects.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number8260122
MDR Report Key8260122
Date Received2019-01-18
Date of Report2019-01-08
Date of Event2018-11-12
Report Date2019-01-08
Date Reported to FDA2019-01-08
Date Reported to Mfgr2019-01-18
Date Added to Maude2019-01-18
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameAUTOCLAVABLE INTERNAL HANDLES WITH INTEGRATED PADDLES
Generic NameDC-DEFIBRILLATOR, LOW-ENERGY, (INCLUDING PADDLES)
Product CodeLDD
Date Received2019-01-18
Model Number8011-0139-04
Catalog Number8011-0139-04
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Age1 YR
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerZOLL MEDICAL CORPORATION
Manufacturer Address269 MILL RD CHELMSFORD MA 018244105 US 018244105


Patients

Patient NumberTreatmentOutcomeDate
101. Life Threatening; 2. Required No Informationntervention 2019-01-18

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