FDA Adverse Event Malfunction Summary report: N

AUTOPULSE RESUSCITATION SYSTEM MODEL 100

MDR report key: 2845016 · Received October 24, 2012

Report

Report Number
3003793491-2012-00143
Event Type
Malfunction
Date Received
October 24, 2012
Date of Event
September 25, 2012
Report Date
September 25, 2012
Manufacturer
ZOLL CIRCULATION, INC.
Product Code
DRM
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

ZOLL MEDICAL CORPORATION HAS NOT RECEIVED THE PRODUCT FOR EVALUATION AND THIS COMPLAINT IS STILL UNDER INVESTIGATION.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE AUTOPULSE RESUSCITATION SYSTEM IS EXPERIENCING A LOT OF LOW TIMES. THERE IS NO REPORT OF A PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 AUTOPULSE RESUSCITATION SYSTEM MODEL 100 CARDIAC CHEST COMPRESSOR DRM ZOLL CIRCULATION, INC. MODEL 100

Patients

Seq Age Sex Outcome Treatment
1 Other