BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AUTOPULSE NIMH BATTERY

    MDR report key: 2924281 · Received December 14, 2012

    Report

    Report Number
    3003793491-2012-00574
    Event Type
    Malfunction
    Date Received
    December 14, 2012
    Date of Event
    April 17, 2012
    Report Date
    April 17, 2012
    Manufacturer
    ZOLL CIRCULATION, INC.
    Product Code
    DRM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    BATTERY SN (B)(4) WAS NOT RETURNED, AND TEST DATA FOR THE BATTERY WAS NOT PROVIDED. A SUPPLEMENTAL REPORT WILL BE FILED IF THE BATTERY IS RETURNED, OR TEST DATA IS PROVIDED. NO ADVERSE EVENT REPORTED.

    Description of Event or Problem · 1

    FOR (B)(4), IT WAS REPORTED THAT 49 BATTERIES WERE NOT OPERATING CORRECTLY. FOR BATTERY SN (B)(4), REPORTED DESCRIPTION WAS THAT THE BATTERY DID NOT WORK EVEN THOUGH IT WAS FULLY CHARGED. NO ADVERSE EVENT REPORTED.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 Other