FDA Adverse Event Malfunction Summary report: N

SSCOR INC

MDR report key: 15565814 · Received October 7, 2022

Report

Report Number
2022724-2022-00001
Event Type
Malfunction
Date Received
October 7, 2022
Date of Event
July 24, 2022
Report Date
August 24, 2022
Manufacturer
SSCOR INC
Product Code
BTA
PMA / PMN Number
K945929
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

SSCOR REACHED OUT TO INITIAL REPORTER TO OBTAIN ADDITIONAL INFORMATION. INITIAL REPORTER STATED THAT THEY WERE ON A CALL AND DEVICE CEASED RUNNING WITHIN TWO MINUTES. THEY HAD TO USE A SECONDARY SUCTION DEVICE FOR 1 OR 2 MINUTES UNTIL PATIENT WAS ON TRANSPORT. PATIENT HAD NO PULSE ON ARRIVAL AND COULD NOT BE RESUSCITATED. INITIAL REPORTER STATED THAT THE DEVICE DID NOT CONTRIBUTE TO PATIENT OUTCOME. AFTER THE CALL DEVICE WAS PLACED ON CHARGE BRACKET FOR 1 HR AND THEN IT WAS TAKEN OFF AND THE DEVICE DIED WITH IN 2 MINUTES. ONCE THEY ARRIVED TO THE STATION DEVICE WAS PLUGGED INTO THE WALL CHARGER FOR 6-7 HOURS AND THEN AGAIN IT DIED WITH IN 2 MINUTES AND THAT IS WHEN THE INITIAL REPORTER REALIZED THE BATTERY HAD LOST CAPACITY.

Description of Event or Problem · 0

MEDIC UNIT STARTED TO SUCTION AIRWAY AND BATTERY DIED WITHIN TWO MINUTES OF SUCTIONING. THEY HAD TO MOVE PATIENT TO THE MEDIC UNIT TO USE ON BOARD SUCTION TO COMPLETE EVACUATION OF EMESIS AND FLUID IN AIRWAY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
274957 SSCOR INC SSCOR VX-2 BTA SSCOR INC 2310BV N/A

Patients

Seq Age Sex Outcome Treatment
1 Unknown