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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZOLL CIRCULATION AUTOPULSE PLATFORM RESUSCITATION; CARDIAC CHEST COMPRESSOR

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ZOLL CIRCULATION AUTOPULSE PLATFORM RESUSCITATION; CARDIAC CHEST COMPRESSOR Back to Search Results
Model Number MODEL 100
Device Problems Display Difficult to Read (1181); Display or Visual Feedback Problem (1184)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 05/10/2021
Event Type  malfunction  
Manufacturer Narrative
During investigation performed at zoll, the lcd screen of the returned autopulse platform (s/n (b)(4)) was not readable in the dark by the zoll service personnel.The root cause of the observed issue was the defective processor board, likely due to wear and tear.The autopulse platform was manufactured in (b)(6) 2013, and it is over 7 years old, beyond its expected service life of 5 years.During visual inspection of the returned autopulse platform, no physical damage was observed.The autopulse platform passed the initial functional test without any fault or error.Load characterization check was performed and verified that both load cells were functioning within the specification.During functional testing, it was noted that the backlight of the display flickered briefly when the platform was powered on, and it went dark afterward.As a result of this, the lcd was unreadable in the dark.During open case inspection, it was noted that the cable connecting the lcd to the processor board was damaged.The lcd was replaced, and the damaged cable issue was resolved; however, the backlight issue persisted.The processor board was replaced to remedy the lcd backlight issue.Following service, the autopulse was subjected to the run-in test using the 95% patient large resuscitation test fixture (lrtf) with good known test batteries until discharged without any fault or error.The brake gap inspection was performed and verified the brake gap was within the specification.Load cell characterization test was performed and confirmed both cell modules are functioning within the specification.Historical complaints were reviewed for service information related to the reported complaint, and there was no previous history of complaints reported for autopulse platform with serial number (b)(4).
 
Event Description
During device evaluation of the autopulse platform (s/n (b)(4)), the lcd screen was not readable in the dark by the zoll service personnel.No patient involvement.
 
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Brand Name
AUTOPULSE PLATFORM RESUSCITATION
Type of Device
CARDIAC CHEST COMPRESSOR
Manufacturer (Section D)
ZOLL CIRCULATION
2000 ringwood ave.
san jose CA 95131
Manufacturer (Section G)
ZOLL CIRCULATION
2000 ringwood ave.
san jose CA 95131
Manufacturer Contact
kim thoa nguyen
2000 ringwood ave,
san jose, CA 95131
4084192922
MDR Report Key11918082
MDR Text Key253770625
Report Number3010617000-2021-00514
Device Sequence Number1
Product Code DRM
UDI-Device Identifier00849111001038
UDI-Public00849111001038
Combination Product (y/n)N
Reporter Country CodeSZ
PMA/PMN Number
K112998
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date 06/01/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received06/01/2021
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberMODEL 100
Device Catalogue Number8700-0740-08
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer05/07/2021
Is the Reporter a Health Professional? Yes
Date Manufacturer Received05/10/2021
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured11/11/2013
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
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