FDA Adverse Event Death Summary report: N

LUCAS ® CPR CHEST COMPRESSION SYSTEM

MDR report key: 18515117 · Received January 15, 2024

Report

Report Number
3005445717-2024-00001
Event Type
Death
Date Received
January 15, 2024
Date of Event
December 15, 2023
Report Date
June 11, 2024
Manufacturer
JOLIFE AB - 3005445717
Product Code
DRM
UDI-DI
00883873834329
PMA / PMN Number
K173553
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

CORRECTED DATA: SECTION H11, ADDITIONAL MFG NARRATIVE OF THE INITIAL MEDWATCH REPORT INDICATES: "A STRYKER FIELD SERVICE REPRESENTATIVE PERFORMED AN INITIAL EVALUATION OF THE CUSTOMER¿S DEVICE AND WAS NOT ABLE TO DUPLICATE THE REPORTED ISSUE. HOWEVER, THE STRYKER FIELD SERVICE REPRESENTATIVE OBSERVED THAT AN ERROR HAD BEEN LOGGED OUT AND FOUND A CREASE ON THE COMMUNICATION CABLE BETWEEN THE PROTECTIVE AND CONTROL BOARDS. THIS CABLE WAS REPLACED TO RESOLVE THE REPORTED ISSUE. AFTER COMPLETING OTHER UNRELATED REPAIRS, PROPER DEVICE OPERATION WAS OBSERVED THROUGH FUNCTIONAL AND PERFORMANCE TESTING. THE DEVICE WAS RETURNED TO THE CUSTOMER FOR USE."

Additional Manufacturer Narrative · 0

SECTION G3, REPORTABILITY AWARENESS DATE OF THE INITIAL MEDWATCH REPORT INDICATES: 01/09/2024; SECTION G3, REPORTABILITY AWARENESS DATE OF THE INITIAL MEDWATCH REPORT SHOULD INDICATE: 12/15/2023.

Additional Manufacturer Narrative · 0

A STRYKER FIELD SERVICE REPRESENTATIVE PERFORMED AN INITIAL EVALUATION OF THE CUSTOMER¿S DEVICE AND WAS NOT ABLE TO DUPLICATE THE REPORTED ISSUE. HOWEVER, THE STRYKER FIELD SERVICE REPRESENTATIVE OBSERVED THAT AN ERROR HAD BEEN LOGGED OUT AND FOUND A CREASE ON THE COMMUNICATION CABLE BETWEEN THE PROTECTIVE AND CONTROL BOARDS. THIS CABLE WAS REPLACED TO RESOLVE THE REPORTED ISSUE. AFTER COMPLETING OTHER UNRELATED REPAIRS, PROPER DEVICE OPERATION WAS OBSERVED THROUGH FUNCTIONAL AND PERFORMANCE TESTING. THE DEVICE WAS RETURNED TO THE CUSTOMER FOR USE. STRYKER CONTACTED THE CUSTOMER TO REQUEST ADDITIONAL INFORMATION ON THE PATIENT. THE CUSTOMER PROVIDED STRYKER WITH THE AVAILABLE PATIENT INFORMATION. PATIENT FIELDS IN WHICH INFORMATION IS NOT PROVIDED WERE INTENTIONALLY LEFT BLANK. STRYKER PERFORMED A CLINICAL REVIEW REGARDING THE REPORTED ISSUE. AND, IT WAS OBSERVED THAT THE DEVICE USE MAY HAVE CONTRIBUTED TO THE EVENT. IT WAS CONSIDERED AND USER ERROR BECAUSE WHEN THE DEVICE STOPPED TO FUNCTION, THE RESCUER STARTED MANUAL CPR AFTER ABOUT 30 S AND THIS IS NOT ACCORDING TO THE INSTRUCTION FOR USE, MANUAL CPR SHOULD BE STARTED IMMEDIATELY.

Description of Event or Problem · 0

A CUSTOMER CONTACTED STRYKER TO REPORT THAT THEIR DEVICE HAD STOPPED COMPRESSIONS DURING PATIENT'S CARE. IF A DEVICE MALFUNCTIONS, THE DEVICE OPERATING INSTRUCTIONS INDICATE THAT THE USER IS TO REMOVE THE DEVICE AND IMMEDIATELY START MANUAL CHEST COMPRESSIONS. THE PATIENT ASSOCIATED WITH THE REPORTED EVENT DID NOT SURVIVE.

Description of Event or Problem · 0

A CUSTOMER CONTACTED STRYKER TO REPORT THAT THEIR DEVICE HAD STOPPED COMPRESSIONS DURING PATIENT'S CARE. IF A DEVICE MALFUNCTIONS, THE DEVICE OPERATING INSTRUCTIONS INDICATE THAT THE USER IS TO REMOVE THE DEVICE AND IMMEDIATELY START MANUAL CHEST COMPRESSIONS. THE PATIENT ASSOCIATED WITH THE REPORTED EVENT DID NOT SURVIVE.

Description of Event or Problem · 0

A CUSTOMER CONTACTED STRYKER TO REPORT THAT THEIR DEVICE HAD STOPPED COMPRESSIONS DURING PATIENT'S CARE. IF A DEVICE MALFUNCTIONS, THE DEVICE OPERATING INSTRUCTIONS INDICATE THAT THE USER IS TO REMOVE THE DEVICE AND IMMEDIATELY START MANUAL CHEST COMPRESSIONS. THE PATIENT ASSOCIATED WITH THE REPORTED EVENT DID NOT SURVIVE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
829784 LUCAS ® CPR CHEST COMPRESSION SYSTEM COMPRESSOR, CARDIAC, EXTERNAL DRM JOLIFE AB - 3005445717 LUCAS 00883873834329

Patients

Seq Age Sex Outcome Treatment
1 53 YR Male Death