HDF3500 AND PAD-PAK
Report
- Report Number
- 3004123209-2020-00222
- Event Type
- Malfunction
- Date Received
- July 30, 2020
- Date of Event
- April 12, 2019
- Report Date
- July 30, 2020
- Manufacturer
- HEARTSINE TECHNOLOGIES LTD
- Product Code
- MKJ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JP
- Reporter Occupation
- OTHER
Narratives
THE DEVICE HISTORY RECORDS FOR THE HDF-3500 DEVICE AND PAD-PAK WERE REVIEWED AND THIS CONFIRMED THAT ALL MANUFACTURING AND QUALITY CHECKS AND TEST HAD BEEN SUCCESSFULLY COMPLETED. THE HDF-3500 PASSED ¿OUT QAT FROM HEARTSINE TECHNOLOGIES ON THE 17TH OCTOBER 2018. UPON RECEIPT, THE DEVICE WAS FAILING SELF-TESTS DUE TO LOW BATTERY WITH THE RETURNED PAD-PAK INSTALLED, AS PER THE REPORTED FAULT. THE PAD-PAK WAS FURTHER INSPECTED, WHICH REVEALED ONE OF ITS BATTERY CELLS WAS FAILING UNDER LOAD. THE HDF-3500 CURRENT DRAIN AND BATTERY MONITORING CIRCUITRY WERE VERIFIED DURING INVESTIGATION. THE DEVICE WAS TEMPERATURE CYCLED BETWEEN 0-50°C FOR 48 HOURS. ADDITIONAL STRESS TESTING WAS THEN CARRIED OUT AT 50°C 95%RH FOR 5 DAYS. THIS COMBINED TESTING EQUATES TO APPROXIMATELY 9.5 YEARS OF NORMAL USE WITHOUT FAULT. AS NO FAULT WAS FOUND ON THE RETURNED HDF-3500 UNIT OR ELSEWHERE ON THE RETURNED PAD-PAK, THE INVESTIGATION CONCLUDES THE FAILURE OF THE PAD-PAK HAD BEEN DUE TO A SINGLE FAILED CELL. INFORMATION FROM THE DEVICE MEMORY SHOWED THE HDF-3500 WAS SUCCESSFULLY INSTALLED ON THE (B)(6) 2019 AND PERFORMED TO SPECIFICATION FOR THREE DAYS, PRIOR TO ISSUING THE FIRST LOW BATTERY WARNING ON THE (B)(6) 2019. IT IS THEREFORE ASSUMED THAT THE CELL HAD INITIALLY FAILED AROUND THIS TIME. DUE TO THE STRESS TESTING CARRIED OUT IN THIS INVESTIGATION, THE DEVICE SHALL BE RETAINED AND REPLACED WITH A NEW HDF-3500.
LOW BATTERY PROMPT HEARD FROM DEVICE. THERE WAS NO PATIENT INVOLVED IN THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 810769 | HDF3500 AND PAD-PAK | AUTOMATED EXTERNAL DEFIBRILLATOR | MKJ | HEARTSINE TECHNOLOGIES LTD |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |