FDA Adverse Event Malfunction Summary report: N

AUTOPULSE® NIMH BATTERY

MDR report key: 4103278 · Received September 19, 2014

Report

Report Number
3010617000-2014-00475
Event Type
Malfunction
Date Received
September 19, 2014
Date of Event
August 27, 2014
Report Date
August 27, 2014
Manufacturer
ZOLL CIRCULATION, INC
Product Code
DRM
PMA / PMN Number
K112998
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE NIMH BATTERY S/N (B)(4) ASSOCIATED WITH THIS COMPLAINT WAS RETURNED TO THE MANUFACTURER FOR INVESTIGATION. THE BATTERY WAS PLACED INTO THE BATTERY TESTER AND THE RESULTS INDICATED THAT THE BATTERY WAS BELOW THE MINIMUM POWER OUTPUT WATTS OF 1300W WITH A READING OF 724.5W. THE BATTERY WAS THEN FULLY CHARGED AND TEST CYCLED, THEN RE-TESTED WITH THE BATTERY TESTER, WHERE THE RESULTS INDICATED THAT THE BATTERY WAS STILL BELOW THE MINIMUM POWER OUTPUT WATTS OF 1300W WITH A READING OF 1080.7W. AN INVESTIGATION CONDUCTED USING THE BATTERIES SERIAL NUMBER, FOUND THAT THE BATTERY WAS WITHIN ITS EXPECTED LIFE SPAN OF 2-4 YEARS WITH A MANUFACTURE DATE OF 11/2011 AND FOUND THE PROPER AMOUNT OF TEST CYCLES (34 +/- 1 EXPECTED, 18 PERFORMED) HAD NOT BEEN 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.

Additional Manufacturer Narrative · 1

PRODUCT IN COMPLAINT WAS RETURNED TO ZOLL ON (B)(6) 2014 FOR INVESTIGATION. HOWEVER, INVESTIGATION IS STILL IN PROGRESS. A SUPPLEMENTAL REPORT WILL BE FILED ONCE INVESTIGATION HAS BEEN COMPLETED.

Description of Event or Problem · 1

COMPLAINANT ALLEGED THAT DURING A TRAINING SESSION, THE AUTOPULSE PLATFORM STOPPED COMPRESSIONS AFTER APPROXIMATELY 7 MINUTES, WHILE USING A FULLY CHARGED AUTOPULSE NIMH BATTERY WITH SERIAL NUMBER (SN) (B)(4). CUSTOMER RESTARTED THE PLATFORM; HOWEVER, THE REPORTED ISSUE DID NOT RESOLVE. NO PATIENT INVOLVEMENT WAS REPORTED. NO FURTHER INFORMATION WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
582613 AUTOPULSE® NIMH BATTERY NIMH BATTERY DRM ZOLL CIRCULATION, INC 8700-0702-01

Patients

Seq Age Sex Outcome Treatment
1