BEUDAMED
    FDA Adverse Event Other Summary report: N

    CIRCON ACMI ELECTROHYDRAULIC LITHOTRIPTOR

    MDR report key: 192485 · Received October 19, 1998

    Report

    Report Number
    1519132-1998-00076
    Event Type
    Other
    Date Received
    October 19, 1998
    Date of Event
    October 15, 1998
    Report Date
    October 19, 1998
    Manufacturer
    CIRCON ACMI
    Product Code
    FFK
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DURING STONE REMOVAL PROCEDURE, PT'S HEART STOPPED. DR STOPPED PROCEDURE AND NORMAL HEARTBEAT RESUMED. ANESTHESIOLOGIST WAS SHOCKED ON ELBOW TOUCHING BED, WHILE HOLDING MASK ON PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CIRCON ACMI ELECTROHYDRAULIC LITHOTRIPTOR ELECTROHYDRAULIC LITHOTRIPTOR FFK CIRCON ACMI AEH-3 NI

    Patients

    Seq Age Sex Outcome Treatment
    1 38 YR