FDA Adverse Event Malfunction Summary report: N

AUTOPULSE® LI-ION BATTERY

MDR report key: 3771509 · Received April 24, 2014

Report

Report Number
3003793491-2014-00210
Event Type
Malfunction
Date Received
April 24, 2014
Date of Event
March 28, 2014
Report Date
April 1, 2014
Manufacturer
ZOLL CIRCULATION, INC
Product Code
DRM
PMA / PMN Number
K112998
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

ZOLL CIRCULATION HAS NOT RECEIVED THE PRODUCT IN COMPLAINT. A SUPPLEMENTAL REPORT WILL BE FILED IF AND WHEN THE PRODUCT IS RETURNED AND INVESTIGATION HAS BEEN PERFORMED.

Additional Manufacturer Narrative · 1

THE BATTERY (S/N (B)(4)) WAS RETURNED AND EVALUATED. EXTERNAL VISUAL INSPECTION SHOWED NO DAMAGES. BATTERY POWER WAS MEASURED BEFORE FUNCTIONAL TESTING AND WAS FOUND TO BE 1601.1 WATTS. FOLLOWING CHARGING OF THE BATTERY, THE POWER WAS MEASURED TO BE 1792.0 WATTS. FOLLOWING CHARGING, THE BATTERY WAS FUNCTIONALLY TESTED WITH A TEST AUTOPULSE PLATFORM AND TEST MANIKIN. THE AUTOPULSE PLATFORM RAN UNINTERRUPTED FOR 42 MINUTES WITH NO ISSUES OBSERVED. THE REPORTED SHORT RUNTIME COULD NOT BE DUPLICATED. BASED ON THE EVALUATION RESULTS, THERE WERE NO ISSUES OR ANOMALIES NOTED WITH THE RETURNED BATTERY THAT COULD HAVE CONTRIBUTED TO THE REPORTED SHORT RUNTIME. BASED ON THE EVALUATION RESULTS, A CAUSE FOR THE REPORTED COMPLAINT COULD NOT BE DETERMINED.

Description of Event or Problem · 1

COMPLAINANT ALLEGED THAT AN AUTOPULSE LI-ION BATTERY WAS GIVING LOW RUN TIMES, TYPICALLY 10 MINUTES. THERE WAS NO REPORT OF ANY PATIENT INVOLVEMENT. NO ADDITIONAL DETAILS WERE PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
249313 AUTOPULSE® LI-ION BATTERY LI-ION BATTERY DRM ZOLL CIRCULATION, INC 8700-0752-01

Patients

Seq Age Sex Outcome Treatment
1