AUTOPULSE? LI-ION BATTERY MODEL 100 8700-0752-01

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2020-03-04 for AUTOPULSE? LI-ION BATTERY MODEL 100 8700-0752-01 manufactured by Zoll Circulation.

Event Text Entries

[186586554] The reported complaint of "the autopulse platform did not recognize the fully charged autopulse li-ion battery (sn (b)(4))" was not confirmed during the functional testing and based on the archive data review. No device malfunction was observed during the testing and the battery worked as intended. Upon visual inspection, no physical damage was observed and the status led on the battery showed four green lights. The autopulse li-ion battery passed charging in a known good autopulse multi-chemistry battery charger (mcc) and the status led on the battery showed four green lights. The battery was also tested in a known good autopulse platform and the platform performed compressions using large resuscitation test fixture (lrtf) for about 40 minutes and passed the run-in test without any fault or error. The archive data review showed no proof of the battery being used or inserted in the autopulse platform on or around the reported event date, which is (b)(6) 2020. The battery was last charged successfully on (b)(6) 2020 and was last used in the autopulse platform on the same day for about few seconds. However, the archive data showed that the customer inserted the battery in the mcc for charging on (b)(6) 2020 and the battery was not reconditioned and fully charged. The customer pulled out the battery during the conditioning cycle or before it finishes the charging and as a result, the battery recorded charging cancellation event. This could be the probable cause for the customer reported complaint. The autopulse power system user guide states: do not remove a battery from the battery charger until its charging completes, or the battery's run time will be reduced. Do not remove a battery from the battery charger during a test-cycle, or the battery's run time may be reduced. If a battery is removed during a test-cycle, the battery charger will automatically restart the test-cycle the next time the battery is inserted into it. Educated the customer by sending a letter with investigation findings and by providing a copy of the autopulse power system user guide.
Patient Sequence No: 1, Text Type: N, H10


[186586555] During shift check, the autopulse platform did not recognize the autopulse li-ion battery (sn (b)(4)) charge status. Per user, the battery was fully charged prior inserting into the platform and the battery status led's showed four green lights. The autopulse platform was tested using other autopulse li-ion batteries and the platform worked as intended. No patient involvement.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3010617000-2020-00221
MDR Report Key9786581
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2020-03-04
Date of Report2020-03-04
Date of Event2020-02-12
Date Mfgr Received2020-02-12
Device Manufacturer Date2019-02-20
Date Added to Maude2020-03-04
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. KIM THOA NGUYEN
Manufacturer Street2000 RINGWOOD AVE,
Manufacturer CitySAN JOSE, CA
Manufacturer CountryUS
Manufacturer Phone4192922
Manufacturer G1ZOLL CIRCULATION
Manufacturer Street2000 RINGWOOD AVE.
Manufacturer CitySAN JOSE, CA
Manufacturer CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameAUTOPULSE? LI-ION BATTERY
Generic NameLI-ION BATTERY, RECHARGEABLE
Product CodeMOQ
Date Received2020-03-04
Returned To Mfg2020-02-26
Model NumberMODEL 100
Catalog Number8700-0752-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerZOLL CIRCULATION
Manufacturer Address2000 RINGWOOD AVE. SAN JOSE, CA US


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-04

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