FDA Adverse Event Death Summary report: N

POWERHEART AED G3

MDR report key: 1651568 · Received April 2, 2010

Report

Report Number
3014398-2010-00008
Event Type
Death
Date Received
April 2, 2010
Date of Event
December 28, 2009
Report Date
April 2, 2010
Manufacturer
CARDIAC SCIENCE CORPORATION
Product Code
MKJ
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE UNIT WAS SENT IN FOR EVAL AND DEPOT REPAIR WAS UNABLE TO DUPLICATE THE ERROR. THEY PERFORMED A 3 SHOCK SEQUENCE WITH NO PROBLEMS NOTED. THE MEMORY DUMP FILE FROM THE DEVICE WAS ALSO EVALUATED BY ENGINEERING. THE INITIAL CONCLUSION WAS THAT THE DEVICE DIDN'T DETECT PADS BEING PROPERLY PLACED IN THE RESCUE. THE FACT THAT NO ERROR HAD BEEN RECORDED IN THE SELF-TEST HISTORY OF THE DEVICE, INDICATED THAT THE DEVICE WORKED AS DESIGNED IN THIS RESCUE. FURTHER INVESTIGATION WAS PERFORMED ON (B) (6) 2010 AND CSC DETERMINED THERE WAS POTENTIAL FOR A HARDWARE FAILURE. A F/U REPORT WILL BE SUBMITTED ONCE INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

CUSTOMER STATED THAT ON (B) (6) 2009, THE UNIT WAS USED IN A RESCUE, PADS WERE APPLIED BUT UNIT CONTINUED TO GIVE PROMPTS TO APPLY PADS. DEFIB UNIT REPEATEDLY ASKED TO ATTACH PADS WHICH HAD BEEN DONE AND VERIFIED. AFTER 3-5 PROMPTS, CREW IGNORED MACHINE VOICE PROMPTS AND CONTINUED WITH FOCUS ON CPR UNTIL ARRIVAL OF PARAMEDIC UNIT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 POWERHEART AED G3 AUTOMATED EXTERNAL DEFIBRILLATOR MKJ CARDIAC SCIENCE CORPORATION 9300E-501

Patients

Seq Age Sex Outcome Treatment
1 Death