BEUDAMED
    FDA Adverse Event Death Summary report: N

    MEDTRONIC

    MDR report key: 1352684 · Received March 23, 2009

    Report

    Report Number
    1352684
    Event Type
    Death
    Date Received
    March 23, 2009
    Date of Event
    March 15, 2009
    Report Date
    March 19, 2009
    Manufacturer
    MEDTRONIC
    Product Code
    LDD
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING A CODE BLUE, APPROXIMATELY THREE SEPARATE ATTEMPTS WERE MADE TO TURN ON THE DEFIBRILLATOR. EACH TIME, THE DEFIBRILLATOR SHUT OFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDTRONIC LIFEPAK 20 LDD MEDTRONIC

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR Death