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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZOLL CIRCULATION AUTOPULSE® LI-ION BATTERY

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ZOLL CIRCULATION AUTOPULSE® LI-ION BATTERY Back to Search Results
Model Number 8700-0752
Device Problem Battery Problem (2885)
Patient Problem No Patient Involvement (2645)
Event Date 07/12/2018
Event Type  malfunction  
Manufacturer Narrative
The reported complaint of "replace battery" error message upon insertion of a fully charged autopulse li-ion battery in an autopulse platform was not confirmed.The autopulse li-ion battery (sn (b)(4)) passed charging in a known good multi chemistry charger and passed the test in a known good autopulse platform.However, based on the battery archive data review, it was identified that the battery was pulled out from the charger during the conditioning cycle or before it completed the charging.Early discharged resulted minimum operating voltage of the battery.Therefore, it was determined that user error may have attributed to the reported complaint.The autopulse power system user guide states: "after every use, at the beginning of a shift, or at least once every 24 hours, the battery in the autopulse should be replaced with a fully charged battery." during visual inspection, no physical damage was observed, and four green lights were lit on incoming inspection.
 
Event Description
As reported, during shift check, the autopulse platform displayed 'replace battery' message upon insertion of a fully charged autopulse li-ion battery (sn (b)(4)).The crew did observed the battery status as fully charged on the autopulse multi chemistry charger before inserting into the ap platform.No patient involved.
 
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Brand Name
AUTOPULSE® LI-ION BATTERY
Type of Device
LI-ION BATTERY
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 Key7765010
MDR Text Key116560293
Report Number3010617000-2018-00816
Device Sequence Number1
Product Code DRM
UDI-Device Identifier00849111001823
UDI-Public00849111001823
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K112998
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,health
Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date 08/08/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/08/2018
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model Number8700-0752
Device Catalogue Number8700-0752-01
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer08/02/2018
Is the Reporter a Health Professional? Yes
Date Manufacturer Received07/18/2018
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured07/22/2016
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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