FDA Adverse Event
Death
Summary report: N
CODEMASTER 100 PORTABLE DEFIBRILLATOR
MDR report key: 215564
·
Received March 10, 1999
Report
- Report Number
- 2425852-1999-00021
- Event Type
- Death
- Date Received
- March 10, 1999
- Date of Event
- January 25, 1999
- Report Date
- January 25, 1999
- Manufacturer
- HEWLETT-PACKARD CO.
- Product Code
- LDD
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
DURING A CALL ON 1-25-99 INVOLVING A 67 YEAR OLD MALE PATIENT IN CARDIAC ARREST, THE UNIT WOULD NOT ALLOW THE CREW TO DEFIBRILLATE A PATIENT WHILE USING THE HANDS FREE CABLES AND 902400 PADS. THE FIRE DEPARTMENT ON THE SCENE WAS ABLE TO SHOCK THE PATIENT WITH THEIR AED. THE PATIENT CONVERTED TO A NON-TREATABLE RHYTHM AND WAS TRANSPORTED TO A HOSPITAL WHERE HE WAS PRONOUNCED. THE PADS WERE DISCARDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CODEMASTER 100 PORTABLE DEFIBRILLATOR | SAED | LDD | HEWLETT-PACKARD CO. | CM100 | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Death |