BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PHYSIO-CONTROL

    MDR report key: 1013916 · Received March 13, 2008

    Report

    Report Number
    MW5005877
    Event Type
    Injury
    Date Received
    March 13, 2008
    Date of Event
    March 12, 2008
    Report Date
    March 13, 2008
    Manufacturer
    MEDTRONIC - PHYSIO CONTROL
    Product Code
    LDD
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    FAILURE OF AUTOMATIC EXTERNAL DEFIBRILLATOR TO DELIVER ELECTRICAL THERAPY TO A POTENTIALLY LETHAL CARDIAC ARRHYTHMIA.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PHYSIO-CONTROL LIFEPAK 500 LDD MEDTRONIC - PHYSIO CONTROL

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR Disability