ZOLL IVTM THERMOGARD XP 8700-0650

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2020-03-06 for ZOLL IVTM THERMOGARD XP 8700-0650 manufactured by Zoll Circulation.

Event Text Entries

[188241772] The thermogard ivtm console was not returned to zoll for evaluation. Thermogard xp ivtm system was evaluated by zoll service at the customer site. The customer reported issue of thermogard console unable to power on was confirmed during the functional testing. The issue was found to be a blown fuse likely due to the user error. The power supply was switched to the wrong voltage, 115v. After replacing the fuses and setting the power supply power to 230v, the console passed all the testing with no issue or faults observed. All test and readings are within the specified limits and functioned as intended. The fuse is designed to protect the power supply and device from damage when the circuit attempts to draw a greater electrical load than it is intended to carry. This can be caused by, for example, a power supply surge. The tgxp fuse is sized to match the load-carrying capacity of the wires in that device. The fuse is intended to blow before the circuit wires can heat to a dangerous level. Historical complaints were reviewed for service information related to the reported complaint and there was no similar complaint reported for thermogard xp ivtm system sn (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[188241773] As reported, during a self-test, the thermogard console (sn (b)(4)) was unable to power on. Another console was used for ivtm therapy. No consequences or impact to patient.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3010617000-2020-00224
MDR Report Key9800700
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2020-03-06
Date of Report2020-03-06
Date of Event2020-02-13
Date Mfgr Received2020-02-13
Device Manufacturer Date2012-01-01
Date Added to Maude2020-03-06
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS KIMTHOA NGUYEN
Manufacturer Street2000 RINGWOOD AVE,
Manufacturer CitySAN JOSE, CA
Manufacturer CountryUS
Manufacturer Phone4192955
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 NameZOLL IVTM THERMOGARD XP
Generic NameTHERMAL REGULATING SYSTEM
Product CodeNCX
Date Received2020-03-06
Model Number8700-0650
Catalog Number8700-0650
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
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 2020-03-06

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