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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CARDIAC SCIENCE CORPORATION POWERHEART G5 KIT, AUTO, UK; AUTOMATED EXTERNAL DEFIBRILLATOR

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CARDIAC SCIENCE CORPORATION POWERHEART G5 KIT, AUTO, UK; AUTOMATED EXTERNAL DEFIBRILLATOR Back to Search Results
Model Number G5A-02A
Device Problems Use of Device Problem (1670); Failure of Device to Self-Test (2937)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Type  malfunction  
Manufacturer Narrative
The device was returned to zoll medical corporation for evaluation.The customer's reports were observed during review of the device data logs.However, the device was put through extensive testing including daily/weekly/monthly self tests without duplicating the reports.The errors were cleared from the report.The main board was replaced as a precaution.The device was recertified and returned to the customer.Analysis of reports of this type has not identified an increase in trend.
 
Event Description
Complainant alleged that during biomed testing, the device failed the power-on upgrade and self test.Complainant indicated that there was no patient involvement in the reported malfunction.
 
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Brand Name
POWERHEART G5 KIT, AUTO, UK
Type of Device
AUTOMATED EXTERNAL DEFIBRILLATOR
Manufacturer (Section D)
CARDIAC SCIENCE CORPORATION
500 burdick parkway
deerfield WI 53531 9692
Manufacturer Contact
269 mill road
chelmsford, MA 01824
9784219552
MDR Report Key12522245
MDR Text Key273844665
Report Number2112020-2021-00922
Device Sequence Number1
Product Code MKJ
Combination Product (y/n)N
Reporter Country CodeUK
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign
Reporter Occupation Other
Type of Report Initial
Report Date 09/07/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Model NumberG5A-02A
Device Catalogue NumberG5A-02A
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer08/03/2021
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 09/07/2021
Initial Date FDA Received09/23/2021
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured12/01/2020
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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