FDA Adverse Event Malfunction Summary report: N

AUTOPULSE NIMH BATTERY

MDR report key: 2981284 · Received January 25, 2013

Report

Report Number
3003793491-2012-00345
Event Type
Malfunction
Date Received
January 25, 2013
Date of Event
June 6, 2012
Report Date
June 13, 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 WAS NOT RETURNED FOR INVESTIGATION; HOWEVER, TEST DATA FROM THE BATTERY WAS PROVIDED. BASED ON THIS DATA, THE BATTERY PASSED THE POWER TESTING (POWER RATING WAS ABOVE 1300W). SINCE THE BATTERY PASSED THE POWER TEST, THE LIKELY CAUSE FOR THE REPORTED EVENT IS THAT THE BATTERY WAS NOT FULLY CHARGED PRIOR TO USE IN THE DEVICE. NO ADVERSE EVENT REPORTED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE DEVICE STOPPED WITH A "REPLACE BATTERY" SCREEN, EVEN THOUGH A FULLY CHARGED BATTERY WAS BEING USED. TEST DATA FOR THE BATTERY WAS SENT. NO ADVERSE EVENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
35474 AUTOPULSE NIMH BATTERY NIMH BATTERY DRM ZOLL CIRCULATION, INC.

Patients

Seq Age Sex Outcome Treatment
1 Other