FDA Adverse Event Malfunction Summary report: N

AUTOPULSE RESUSCITATION SYSTEM MODEL 100

MDR report key: 2881782 · Received November 7, 2012

Report

Report Number
3003793491-2012-00255
Event Type
Malfunction
Date Received
November 7, 2012
Date of Event
October 4, 2012
Report Date
October 8, 2012
Manufacturer
ZOLL CIRCULATION, INC
Product Code
DRM
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE REPORTED COMPLAINT OF "UNIT MADE A FEW COMPRESSIONS AND STOPPED" WAS NOT CONFIRMED. BASED ON THE DATE OF OCCURRENCE ((B)(6) 2012), THE SESSIONS THAT PERTAIN TO THE REPORTED INCIDENT ARE THE SESSIONS FROM (B)(6) 2012. USER ADVISORY 2 (COMPRESSION TRACKING ERROR) WAS LOGGED INTO THE ARCHIVE FILE DURING THESE SESSIONS. USER ADVISORY 2 IS GENERATED IF THE LOAD IS VERY LIGHT, OR IF IT IS NOT POSITIONED CORRECTLY. THE BOARD WAS RUN WITH A MANIKIN AND TEST BATTERY, AND THEN RUN WITH THE LARGE RESUSCITATION TEST FIXTURE (EQUIVALENT TO A 250 POUND PT), NO PROBLEMS WERE OBSERVED. NO ADVERSE EVENT REPORTED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE UNIT MADE A FEW COMPRESSIONS AND STOPPED. MEDICS TRIED TO SWAP THE BATTERY BUT TO NO IMPROVEMENT. MANUAL CPR WAS ADMINISTERED. NO ADVERSE EVENT REPORTED.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 Other