BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HANDS FREE DEFIBRILLATOR CABLE

    MDR report key: 1031101 · Received April 7, 2008

    Report

    Report Number
    1031101
    Event Type
    Malfunction
    Date Received
    April 7, 2008
    Date of Event
    March 28, 2008
    Report Date
    March 31, 2008
    Manufacturer
    PHILIPS MEDICAL SYSTEMS
    Product Code
    LDD
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    IL, US

    Narratives

    Description of Event or Problem · 1

    THE STAFF ATTEMPTED TO DEFIBRILLATE A PATIENT USING THE HANDS FREE CABLE. WHEN THE STAFF MEMBER PRESSED THE RED BUTTONS, THE DEVICE DID NOT FIRE. THE STAFF THEN IMMEDIATELY UTILIZED THE PADDLES AND THE PATIENT WAS SUCCESSFULLY DEFIBRILLATED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HANDS FREE DEFIBRILLATOR CABLE CABLE, DEFIBRILLATOR, HANDS FREE LDD PHILIPS MEDICAL SYSTEMS * *

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR