FDA Adverse Event Death Summary report: N

LUCAS 2

MDR report key: 17536103 · Received August 12, 2023

Report

Report Number
MW5142993
Event Type
Death
Date Received
August 12, 2023
Report Date
October 18, 2021
Manufacturer
PHYSIO-CONTROL
Product Code
DRM
Report Source
Voluntary report
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 0

THE PATIENT WAS SENT TO OUR HOSPITAL DUE TO CARDIAC AND RESPIRATORY ARRES. THE PATIENT'S VITAL CHARACTERISTICS AT THE TIME OF THE EVENT: BODY TEMPERATURE 36.4, BREATHING BEATS/MIN, PULSE 0 BEATS/MIN, BLOOD PRESSURE 0/0MMHG, THE PERIPHERAL BLOOD OXYGEN SATURATION WAS 0%. WHEN THE MEDICAL STAFF USED THE CHEST COMPRESSION SYSTEM TO GIVE CPR TO THE PATIENT, THE CHEST COMPRESSION SYSTEM STOPPED WORKING AFTER 2 MINUTES OF USE. THE MEDICAL STAFF IMMEDIATELY PERFORMED CHEST HEART COMPRESSION MANUALLY, BUT THE RESCUE FAILED.) (B)(4). THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1074360 LUCAS 2 COMPRESSOR, CARDIAC, EXTERNAL DRM PHYSIO-CONTROL LUCAS 2 {CHEST COMPRESSION DEVICE)

Patients

Seq Age Sex Outcome Treatment
1 Unknown