BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AUTOPULSE TRAINING LIFEBAND

    MDR report key: 2946135 · Received January 4, 2013

    Report

    Report Number
    3003793491-2012-00664
    Event Type
    Malfunction
    Date Received
    January 4, 2013
    Date of Event
    January 27, 2012
    Report Date
    February 10, 2012
    Manufacturer
    ZOLL CIRCULATION, INC.
    Product Code
    DRM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    ZOLL MEDICAL CORPORATION HAS NOT YET RECEIVED THE DEVICE. A SUPPLEMENTAL REPORT WILL BE SUBMITTED WHEN THE DEVICE IS RECEIVED AND EVALUATED. NO ADVERSE EVENT REPORTED.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE CLOTH FROM BOTH SIDES OF THE TRAINING BAND CAME OFF. NO ADVERSE EVENT REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    4877 AUTOPULSE TRAINING LIFEBAND TRAINING LIFEBAND DRM ZOLL CIRCULATION, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 Other