FDA Adverse Event Malfunction Summary report: N

AUTOPULSE® NIMH BATTERY

MDR report key: 3816783 · Received May 19, 2014

Report

Report Number
3003793491-2014-00245
Event Type
Malfunction
Date Received
May 19, 2014
Date of Event
April 21, 2014
Report Date
April 21, 2014
Manufacturer
ZOLL CIRCULATION, INC
Product Code
DRM
PMA / PMN Number
K112998
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE AUTOPULSE BATTERY IN COMPLAINT WAS RETURNED TO ZOLL ON 06/09/2014 FOR INVESTIGATION. THE BATTERY WAS PLACED IN THE BATTERY TESTER, AND THE RESULTS INDICATED THAT THE BATTERY WAS BELOW THE MINIMUM POWER OUTPUT WATTS OF 1300W WITH A READING OF 1028.6W. THE BATTERY WAS THEN FULLY CHARGED AND TEST CYCLED, THEN RE-TESTED WITH THE BATTERY TESTER, WHERE THE RESULTS INDICATED THAT THE BATTERY WAS ABOVE THE MINIMUM POWER OUTPUT WATTS OF 1300W WITH A READING OF 1341.1W. AN INVESTIGATION CONDUCTED USING THE BATTERY'S SERIAL NUMBER FOUND THAT THE BATTERY WAS WITHIN ITS EXPECTED LIFE SPAN OF 2-4 YEARS WITH A MANUFACTURE DATE OF 4/2013, AND THE PROPER AMOUNT OF TEST CYCLES (10 +/- 1 EXPECTED, 10 PERFORMED) WERE PERFORMED. THE EXPECTED SERVICE LIFE OF THE AUTOPULSE BATTERY IS 100 CHARGE CYCLES OR 2 TO 4 YEARS DEPENDING ON BATTERY MAINTENANCE AND USAGE PATTERNS. BOTH OF THE CUSTOMER'S REPORTED COMPLAINT COULD NOT BE CONFIRMED AS THE BATTERY PASSED TESTING AND WAS ABLE TO POWER ON A PLATFORM AT ZOLL.

Additional Manufacturer Narrative · 1

ZOLL 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.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE AUTOPULSE NIMH BATTERY WOULD NOT POWER ON AN AUTOPULSE PLATFORM. CUSTOMER ALSO STATED THAT THE BATTERY WILL NOT CHARGE IN A MULTI-CHEMISTRY CHARGER. HOWEVER, ONE GREEN LED LIGHT IS DISPLAYED AT THE END OF THE BATTERY (INDICATING THAT THE BATTERY IS FULLY CHARGED AND READY FOR USE). NO PATIENT INVOLVEMENT WAS REPORTED. NO FURTHER INFORMATION WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
297651 AUTOPULSE® NIMH BATTERY NIMH BATTERY DRM ZOLL CIRCULATION, INC 8700-0702-01

Patients

Seq Age Sex Outcome Treatment
1