FDA Adverse Event Malfunction Summary report: N

LIFEBAND® LOAD-DISTRIBUTING BAND

MDR report key: 23006419 · Received September 9, 2025

Report

Report Number
3010617000-2025-00647
Event Type
Malfunction
Date Received
September 9, 2025
Date of Event
August 11, 2025
Report Date
September 9, 2025
Manufacturer
ZOLL CIRCULATION, INC
Product Code
DRM
UDI-DI
00849111002981
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 BAND IN THE COMPLAINT FOR INVESTIGATION. A SUPPLEMENTAL REPORT WILL BE FILED IF AND WHEN THE PRODUCT IS RETURNED AND INVESTIGATION HAS BEEN COMPLETED.

Description of Event or Problem · 0

THE CUSTOMER REPORTED THE AUTOPULSE NXT BAND (LOT UNKNOWN) SNAPPED RIGHT ABOVE THE PIN DURING USE. THE CREW REPLACED THE BAND AND WHEN DOING SO, THEY NOTICED THAT THE AUTOPULSE NXT PLATFORM (SN (B)(6) WAS VERY HOT. THEN SHORTLY AFTER, THE PLATFORM THREW A CODE. NO ADDITIONAL INFORMATION WAS PROVIDED. PATIENT'S STATUS INFORMATION WAS REQUESTED BUT THE CUSTOMER DID NOT PROVIDE A RESPONSE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2836200 LIFEBAND® LOAD-DISTRIBUTING BAND CARDIAC RESUSCITATOR, LINE-POWERED DRM ZOLL CIRCULATION, INC MODEL 200 UNKNOWN 00849111002981

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown