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 2020-03-12 for ZOLL IVTM THERMOGARD XP 8700-0650 manufactured by Zoll Circulation.

Event Text Entries

[188226325] The thermogard xp ivtm console (sn: (b)(4)) was evaluated at the customer site. The reported complaint of "the display head's rotary encoder of the thermogard xp ivtm system (sn: (b)(4) was hard to press" was not confirmed during functional testing. There was no device malfunction on the ivtm thermogard system, and the rotary encoder functioned as intended. During visual inspection, there was no physical damage observed on the ivtm thermogard console. The event log review showed no significant discrepancies. The ivtm thermogard console passed the initial functional testing with no issues; therefore, the reported complaint was not confirmed. The rotary encoder was deburred and dusted as a precautionary measure. Following service, the ivtm system passed all testing criteria.
Patient Sequence No: 1, Text Type: N, H10


[188226326] The display head's rotary encoder of the thermogard xp ivtm system (sn: (b)(4)) was hard to press. According to the customer, while turning the rotary encoder at some angles, the "enter function" did not seem to work as intended. Nevertheless, the display head was still readable. No patient involvement.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3010617000-2020-00320
MDR Report Key9826798
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2020-03-12
Date of Report2020-03-12
Date of Event2020-02-19
Date Mfgr Received2020-02-19
Device Manufacturer Date2019-09-04
Date Added to Maude2020-03-12
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 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 NameZOLL IVTM THERMOGARD XP
Generic NameTHERMAL REGULATING SYSTEM
Product CodeNCX
Date Received2020-03-12
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 2020-03-12

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