FDA Adverse Event
Death
Summary report: N
PHYSIO CONTROL
MDR report key: 113798
·
Received August 11, 1997
Report
- Report Number
- 113798
- Event Type
- Death
- Date Received
- August 11, 1997
- Date of Event
- June 26, 1997
- Report Date
- July 11, 1997
- Manufacturer
- PHYSIO CONTROL
- Product Code
- LDD
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- NV, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
WHILE CARING FOR PT IN NEED OF TRANSCUTANEOUS PACING, PACING PADS WERE PLACED AND PACER ACTIVATED. MACHINE FAILED TO DELIVER PACING ENERGY AND/OR CAPTURE AN ELECTRICAL RHYTHM FOR PT. DEVICE ADVISED ABOUT LEAD PLACEMENT WHICH WAS APPROPRIATE. PT SUBSEQUENTLY DIED DESPITE OTHERWISE AGGRESSIVE ACLS MGMT OF CASE. PT PACING CABLES WERE ACCIDENTALLY CUT AT HOSP BY STAFF.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PHYSIO CONTROL | MONITOR DEFIBRILLATOR/PACER | LDD | PHYSIO CONTROL | LIFEPAK 10 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 71 YR | Death| O| R |