BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DEFIBRILLATOR

    MDR report key: 13909 · Received June 10, 1994

    Report

    Report Number
    MW1002421
    Event Type
    Malfunction
    Date Received
    June 10, 1994
    Date of Event
    May 30, 1994
    Report Date
    May 31, 1994
    Manufacturer
    HEWLETT-PACKARD CO.
    Product Code
    LDD
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    LA, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    RPTR COULD NOT GET EKG DISPLAY ON MONITOR FROM EKG CABLE DURING CODE. CODE SUCCESSFULLY COMPLETED USING EKG FROM PADDLE MODE. DETERMINED EKG CABLE WAS INSERTED IMPROPERLY DESPITE KEYWAY CONNECTION. THIS CAUSED LOSS OF DISPLAY ON THE MONITOR. (ALSO SEE 1002422.)

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DEFIBRILLATOR DEFIBRILLATOR LDD HEWLETT-PACKARD CO. 43100A

    Patients

    Seq Age Sex Outcome Treatment
    1 *