BEUDAMED
    FDA Adverse Event Death Summary report: N

    QUICK PACE

    MDR report key: 11707 · Received January 25, 1994

    Report

    Report Number
    11707
    Event Type
    Death
    Date Received
    January 25, 1994
    Date of Event
    December 11, 1993
    Report Date
    December 21, 1993
    Manufacturer
    PHYSIO CONTROL CORP.
    Product Code
    DRO
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    AN EXTERNAL PACER FAILED WHEN APPLIED DURING A CARDIAC ARREST. THE MACHINE READ "PACING LEADS NOT ON." UNABLE TO EXTERNALLY PACE. PATIENT EXPIRED. LATER A NEW CABLE WAS ATTACHED AND THE QUICK PACE PERFORMED PROPERLY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 QUICK PACE EXTERNAL PACER DRO PHYSIO CONTROL CORP. 804641-01

    Patients

    Seq Age Sex Outcome Treatment
    1 39 YR Death