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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZOLL CIRCULATION, INC. LIFEBAND® LOAD-DISTRIBUTING BAND; CARDIAC RESUSCITATOR, LINE-POWERED

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ZOLL CIRCULATION, INC. LIFEBAND® LOAD-DISTRIBUTING BAND; CARDIAC RESUSCITATOR, LINE-POWERED Back to Search Results
Model Number MODEL 200
Medical Device Problem Codes Fitting Problem (2183); Material Integrity Problem (2978); Material Split, Cut or Torn (4008)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/08/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
For g4: pma/510(k): premarket submission number not available/not released the nxt band associated with this complaint was discarded by the customer.Since the device was not returned, an investigation could not be performed and a root cause could not be determined.
 
Event or Problem Description
The customer reported that the crew attempted to deploy the autopulse nxt platform (sn (b)(6) on a patient.The customer stated that, to the best of their knowledge, the nxt band (lot # unknown) was correctly attached to the nxt platform.Upon initial inspection, both sides of the nxt band appeared to be in good working condition.The nxt platform was used on a concrete surface, and no audible alerts or visible faults were displayed on the control panel when it was powered on.According to the customer, the band initiated correctly; however, shortly thereafter, the band on the patient's right side went slack.Simultaneously, the left-side band shifted and began contracting irregularly, delivering compressions solely to the left side of the patient's chest.No one on scene noticed any warnings or lights on the platform's control panel.The use of the nxt platform was discontinued, and manual chest compressions were initiated.The crew inspected the nxt platform and attempted to redeploy the device, but the same issue occurred.After a third unsuccessful attempt, manual compressions were continued for the remainder of the encounter.No consequences or impacts on the patient.The crew on scene did not have a replacement band available, so the band was not replaced.Post-incident, during decontamination of the device back at the station, it was noticed that the right side of the nxt band appeared shredded/torn.The band was subsequently disposed of due to biohazard concerns from the call.The nxt platform was tested with another nxt band and worked without issue.
 
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Brand Name
LIFEBAND® LOAD-DISTRIBUTING BAND
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
kim thoa sackrison
2000 ringwood ave.
san jose, CA 95131
4084192347
MDR Report Key23721394
Report Number3010617000-2025-00837
Device Sequence Number10100572
Product Code DRM
Combination Product (Y/N)N
Initial Reporter StateCA
Initial Reporter CountryUS
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,User Facility,Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date (Section B) 12/04/2025
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 Health Professional
Device Model NumberMODEL 200
Device Catalogue Number8700-001013
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 11/10/2025
Initial Report FDA Received Date12/04/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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