FDA Adverse Event
Malfunction
Summary report: N
AUTOPULSE NXT RESUSCITATION SYSTEM
MDR report key: 21980583
·
Received May 7, 2025
Report
- Report Number
- 3010617000-2025-00332
- Event Type
- Malfunction
- Date Received
- May 7, 2025
- Date of Event
- April 12, 2025
- Report Date
- May 7, 2025
- Manufacturer
- ZOLL CIRCULATION, INC.
- Product Code
- DRM
- UDI-DI
- 00849111003384
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
FOR G4: PMA/510(K): PREMARKET SUBMISSION NUMBER NOT AVAILABLE/NOT RELEASED. ZOLL HAS NOT RECEIVED THE AUTOPULSE NXT PLATFORM FOR INVESTIGATION. A FOLLOW-UP REPORT WILL BE SUBMITTED IF AND WHEN THE PRODUCT IS RETURNED, AND THE INVESTIGATION HAS BEEN COMPLETED.
Description of Event or Problem · 0
THE CUSTOMER REPORTED THAT THE ALERT YELLOW TRIANGLE INDICATOR ILLUMINATES ON THE AUTOPULSE NXT PLATFORM (SN (B)(6)), AND ONLY ONE SIDE OF THE NXT BAND RETRACTS ON MULTIPLE POWER-UP ATTEMPTS. NO FURTHER INFORMATION WAS PROVIDED. IT IS UNKNOWN WHEN THE PROBLEM OCCURRED. HOWEVER, PATIENT USE INFORMATION WAS REQUESTED, BUT NO ADDITIONAL INFORMATION WAS PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 138412 | AUTOPULSE NXT RESUSCITATION SYSTEM | CARDIAC RESUSCITATOR, LINE-POWERED | DRM | ZOLL CIRCULATION, INC. | MODEL 200 | 00849111003384 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |