FDA Adverse Event Malfunction Summary report: N

LIFEPAK 9 DEFIBRILLATOR/MONITOR

MDR report key: 1027122 · Received April 9, 2008

Report

Report Number
3015876-2008-00292
Event Type
Malfunction
Date Received
April 9, 2008
Date of Event
December 18, 2007
Report Date
March 11, 2008
Manufacturer
PHYSIO-CONTROL, INC.
Product Code
LDD
PMA / PMN Number
K881153
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE DATA STORAGE INCLUDING DEFIBRILLATOR CALIBRATION CONSTANTS, IS STORED IN A BATTERY- BACKED RAM CHIP, DESIGNATOR U28. ON THE MAIN PCB ASSEMBLY .IC CHIP U28 CONTAINS A LITHIUM ENERGY CELL BATTERY THAT CAN MAINTAIN THE DEVICE DATA FOR A MINIMUM OF 5 YEARS CONTINUOUS DUTY. A RECENT FAILURE ANALYSIS HAS DETERMINED THAT A SEVERELY DEPLETED ENERGY CELL CAN RESULT IN A FAILURE OF THE DEFIBRILLATOR TO CHARGE COMPLETELY AND/OR A FAILURE TO DISCHARGE. PHYSIO-CONTROL RECOMENDED THE CUSTOMER REPLACE U28 AND RECALIBRATE THE DEVICE TO RESTORE PROPER OPERATION PHYSIO PROVIDED THE CUSTOMER WITH REPLACEMENT PART NUMBER AND REPAIR INFO. CUSTOMER LATER REPORTED THAT DEVICE WAS CRAPPED TO PURCHASE A BIPHASIC DEFIBRILLATOR THAT CONFORMED TO 2005 AHA GUIDELINES.

Description of Event or Problem · 1

FOUND WHILE TESTING. ACCORDING TO THE REPORTER, THE DEFIBRILLATOR CHARGES ONLY TO 70J FOR 200J TEST AND ENERGY SETTINGS WON'T CALIBRATE. NO PT USE WAS ASSOCIATED WITH THE REPORTED INCIDENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LIFEPAK 9 DEFIBRILLATOR/MONITOR LDD PHYSIO-CONTROL, INC. 9 NA

Patients

Seq Age Sex Outcome Treatment
1 NA