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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZOLL CIRCULATION INC. AUTOPULSE® NXT LITHIUM-ION BATTERY; LI-ION BATTERY, RECHARGEABLE

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ZOLL CIRCULATION INC. AUTOPULSE® NXT LITHIUM-ION BATTERY; LI-ION BATTERY, RECHARGEABLE Back to Search Results
Model Number  NXT BATTERY
Device Problem Battery Problem (2885)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 02/22/2024
Event Type  malfunction  
Manufacturer Narrative
Zoll has not received the autopulse nxt lithium battery for investigation.A follow-up report will be submitted when the product is returned, and the investigation has been completed.
 
Event Description
On (b)(6) the fully charged autopulse nxt lithium battery (b)(6) died after 14 mins during patient use.The crew switched to the lucas device.The autopulse nxt platform is performing as intended with other batteries.No impact or consequence to the patient.
 
Manufacturer Narrative
(describe event or problem) was updated.The reported complaint of the fully charged autopulse nxt lithium battery (sn (b)(6) died after 14 mins was not confirmed during functional testing or archive data review.No device malfunction was observed during testing, and the battery functioned as intended.Upon visual inspection, no physical damage was observed, and the status leds of the battery showed three green lights.The battery archive was downloaded and reviewed with no errors.No issues with current calibration or lifetime cell voltages were observed.The battery passed charging in a known good nxt battery charger, and the status leds on the battery showed four solid green lights after the successful charging attempt.The battery was tested in a known-good ap nxt platform and successfully powered the platform for an entire 30-minute run.
 
Event Description
On feb 22, the fully charged autopulse nxt lithium battery (sn (b)(6) died after 14 mins during patient use.The patient was a 49-year-old male who weighed 74.8 kg.The crew switched to the lucas device.The autopulse nxt platform is performing as intended with other batteries.No impact or consequence to the patient.
 
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Brand Name
AUTOPULSE® NXT LITHIUM-ION BATTERY
Type of Device
LI-ION BATTERY, RECHARGEABLE
Manufacturer (Section D)
ZOLL CIRCULATION INC.
2000 ringwood ave
san jose CA 95131
Manufacturer (Section G)
ZOLL CIRCULATION INC
2000 ringwood ave
san jose CA 95131
Manufacturer Contact
kimthoa sackrison
2000 ringwood ave
san jose, CA 95131
4084192922
MDR Report Key19006048
MDR Text Key339011043
Report Number3010617000-2024-00327
Device Sequence Number1
Product Code DRM
UDI-Device Identifier00849111002998
UDI-Public00849111002998
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
 K221700
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional,User Facility,Company Representative
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 04/30/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/29/2024
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model Number NXT BATTERY
Device Catalogue Number 8700-001012-01
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Date Manufacturer Received04/11/2024
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured10/17/2023
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
Patient Age49 YR
Patient SexMale
Patient Weight75 KG
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