BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LIFEPAK 9P DEFIBRILLATOR/MONITOR/PACEMAKER

    MDR report key: 1032406 · Received April 17, 2008

    Report

    Report Number
    3015876-2008-00347
    Event Type
    Malfunction
    Date Received
    April 17, 2008
    Date of Event
    March 18, 2008
    Report Date
    March 18, 2008
    Manufacturer
    PHYSIO-CONTROL, INC.
    Product Code
    LDD
    PMA / PMN Number
    K902288
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AL, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    DEVICE DATA STORAGE, INCLUDING DEFIBRILLATOR CALIBRATION CONSTANTS, ARE 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 RECOMMENDED THE CUSTOMER REPLACE U28 AND RECALIBRATE THE DEVICE TO RESTORE PROPER OPERATION.

    Description of Event or Problem · 1

    FOUND DURING TESTING. ACCORDING TO THE REPORTER, THE DEVICE DISPLAYS A SERVICE INDICATOR WHEN POWERING UP AND AN "ENERGY FAULT" WARNING MESSAGE WHEN THE CHARGE BUTTON IS PRESSED. THE REPORTER STATED THAT FAULT CODE 22 AND 28 WERE LOGGED INTO THE DEVICE ERROR LOG.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 NA