BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AUTOPULSE NIMH BATTERY

    MDR report key: 2870405 · Received November 13, 2012

    Report

    Report Number
    3003793491-2012-00191
    Event Type
    Malfunction
    Date Received
    November 13, 2012
    Date of Event
    August 15, 2012
    Report Date
    August 15, 2012
    Manufacturer
    ZOLL CIRCULATION
    Product Code
    DRM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    ZOLL HAS NOT RECEIVED THE PRODUCT FOR EVAL AND THIS COMPLAINT IS STILL UNDER INVESTIGATION.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT BATTERY KEEPS FAILING THE TEST CYCLE. THE BATTERY WAS MANUFACTURED IN MARCH 2012.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AUTOPULSE NIMH BATTERY NIMH BATTERY DRM ZOLL CIRCULATION

    Patients

    Seq Age Sex Outcome Treatment
    1 Other