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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZOLL CIRCULATION, INC AUTOPULSE®RESUSCITATION SYSTEM; CARDIAC RESUSCITATOR, LINE-POWERED

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ZOLL CIRCULATION, INC AUTOPULSE®RESUSCITATION SYSTEM; CARDIAC RESUSCITATOR, LINE-POWERED Back to Search Results
Model Number 100
Medical Device Problem Codes Display Difficult to Read (1181); Display or Visual Feedback Problem (1184)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 10/23/2025
Type of Reportable Event Malfunction
Event or Problem Description
During preventative maintenance on (b)(6) 2025 of the returned autopulse platform (sn (b)(6) at zoll germany service depot, the platform failed functional testing because the display is unreadable.No patient involvement.
 
Additional Manufacturer Narrative
During performing the preventative maintenance of the returned autopulse platform (sn (b)(6) at zoll germany service depot, it was observed that the platform failed functional testing because the display was unreadable.The root cause was determined to be the defective processor board.The defective processor board was replaced to resolve the observed issue.After the replacement of the processor board, the platform was subjected to final testing and it passed all testing criteria.Historical complaints were reviewed for service information related to the observed issue, and no similar complaint was reported for the autopulse platform with s/n (b)(6).
 
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Brand Name
AUTOPULSE®RESUSCITATION SYSTEM
Common Device Name
CARDIAC RESUSCITATOR, LINE-POWERED
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
MDR Report Key23550296
Report Number3010617000-2025-00810
Device Sequence Number9682973
Product Code DRM
Combination Product (Y/N)N
Initial Reporter CountryGM
PMA/510(K) Number
K112998
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Other,Foreign
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date (Section B) 11/13/2025
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
Operator of Device Other
Device Model Number100
Device Catalogue Number8700-0740-08
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer10/21/2025
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 10/21/2025
Initial Report FDA Received Date11/13/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured02/20/2019
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
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