Patient

Service Representatives,

The purpose of this email is to inform you of an addition to the WEAR Checklist (revision or
rev h). Specifically, a checkbox has been added regarding instructions for patients in response
to the “Call for service – Message Code 102”. ZOLL has determined that in certain cases, a
“Call for service – Message Code 102” could mean that the patient’s LifeVest may not be able to
deliver a lifesaving treatment shock if needed. It is very rare for a Message Code 102 to be
associated with a device issue that would prevent the device from being able to deliver a
treatment shock, and a Message Code 102 can be displayed for reasons that do not impact the
devices ability to deliver a treatment shock.

In response to this rare, but potentially serious situation, ZOLL has decided to modify the
instruction for patients to call ZOLL immediately if a Message Code 102 is displayed on their
device.

Patients are to be instructed to call ZOLL immediately at 1‐800‐543‐3267 for a replacement
LifeVest if a “Call for service ‐ Message Code 102” appears on the LifeVest screen during the
start‐up sequence. A replacement device will be provided within 24 hours










The patient should continue to use the LifeVest as prescribed by their physician until a
replacement device is received.

Key Facts:
 Patients currently using the LifeVest should continue to do so as originally instructed
by their physician.
 It is very rare for a Message Code 102 to be associated with a device issue that would
prevent the device from being able to deliver a treatment shock.
 No physician action or communication is required.

ZOLL MEDICAL CORPORATION AND SUBSIDIARIES

PSR Actions Required:

 Effective immediately, new patients fit with the LifeVest should be trained with an
updated WEAR Checklist (rev h) that includes instructions to call ZOLL in the event
they experience a “Call for service – Message Code 102”. This updated checklist will
be attached to your Fitting work order (sent by the Account Coordinators) until UPS
Stores are replenished with systems containing a hard copy of the updated checklist
(rev h). All outdated checklists, in your possession, must be properly and immediately
disposed of.
 The signed WEAR Checklist (rev h) must be returned to ZOLL following the fitting as
per existing processes. All boxes on the WEAR Checklist, including the new “Call for
Service – Message 102” box, must be covered with the patient and checked, and the
patient must sign and date the WEAR Checklist prior to sending in to ZOLL. Failure
to complete any of these steps could result in a PSR payment delay.
 All patients must receive a signed copy of the WEAR Checklist (rev h) prior to
PSR departure.

ZOLL MEDICAL CORPORATION AND SUBSIDIARIES

Starting today (1/5/18), please discard all previous versions of the old WEAR Checklist. The
old versions may be contained in system shipments until the new version is integrated, so the
updated WEAR Checklist – English version (20c0074_revh) will be attached to your work
orders until we have circulated through all old checklists. Please ensure you check the version
number (located at the bottom right‐hand side of the document) and only utilize Rev h moving
forward. 

These changes have also been incorporated into the Spanish version of the WEAR Checklist
(20c0074_usa_spa_revb), which can be downloaded and printed from LifeVest Network under
PSR Material’s or provided by your Account Coordinator as needed.

If you have questions, please contact your Account Coordinator. We appreciate your continued
partnership.

ZOLL Customer Support

 
 
 
 

ZOLL MEDICAL CORPORATION AND SUBSIDIARIES