FDA Adverse Event Malfunction Summary report: N

AUTOPULSE NIMH BATTERY

MDR report key: 3003690 · Received February 11, 2013

Report

Report Number
3003793491-2013-00310
Event Type
Malfunction
Date Received
February 11, 2013
Date of Event
January 25, 2013
Report Date
January 25, 2013
Manufacturer
ZOLL CIRCULATION, INC.
Product Code
DRM
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

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

Description of Event or Problem · 1

IT WAS REPORTED THAT WHEN USING BATTERY SN (B)(4), PLATFORM STOPPED AFTER 5 MINUTES OF COMPRESSIONS. NO ADVERSE EVENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
60172 AUTOPULSE NIMH BATTERY NIMH BATTERY DRM ZOLL CIRCULATION, INC.

Patients

Seq Age Sex Outcome Treatment
1 Other