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Zoll has not received the lifeband in complaint for investigation.A follow-up report will be filed if and when the product is returned and investigation has been completed.The death was not related to the autopulse device.The autopulse is used as an adjunct to manual cpr, adjunctive use-only indication is prominently displayed on device labels and in the device manual.The benefit of using autopulse is that it in part substitutes mechanical compressions for the physical labor of manual chest compressions when effective manual cpr is not possible.If the autopulse did not start or unexpectedly stops compressions, rescuer should revert to manual cpr, which is the standard of care.The autopulse is intended to be used as an adjunct to manual cpr on adult patients.In case of stoppage of autopulse the trained user reverts to manual cpr.The transition from autopulse to manual cpr by trained users is similar to the time necessary for rescuer rotation and presents the same workflow as manual cpr.Hence, based on available information, the patients' outcome was not negatively impacted by the interruptions when compared to standard-of-care manual cpr.According to multiple studies, out-of-hospital cardiac arrest (ohca) is considered one of the leading causes of death in industrialized nations, with a significant number of deaths occurring outside of a hospital setting, making it a major public health concern; this information is supported by research from the cdc, studies on global mortality rates, and data from various cardiac arrest registries.Survival to hospital discharge after non-traumatic emergency medical services-treated cardiac arrest with any first recorded rhythm was around 10% for patients of any age (mozaffarian, circulation, 2016; ebiomedicine 2023).Death is an expected outcome for ohca.
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The autopulse platform (sn (b)(6)) along with lifeband (lot # unknown) were used in an attempt to resuscitate a patient in cardiac arrest.The customer reported that the patient was properly aligned, and clothing was removed, but the lifeband repeatedly twisted.The customer stated no error codes were recorded, but the crew switched to manual cpr.The customer did not provide further details about the cardiac arrest event but reported that the patient passed away.The customer believes the issue was not due to user error and indicated that the patient's death was unrelated to the autopulse system.The customer mentioned that the reported issue was replicated at the station after the call but did not specify whether it was related to the autopulse platform or the lifeband.
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