BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MULTI FUNCTION CABLE (1600)

    MDR report key: 218466 · Received April 8, 1999

    Report

    Report Number
    1220908-1999-00249
    Event Type
    Malfunction
    Date Received
    April 8, 1999
    Date of Event
    February 16, 1999
    Report Date
    March 10, 1999
    Manufacturer
    ZOLL MEDICAL CORPORATION.
    Product Code
    DSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    COMPLAINANT ALLEGED THAT THE CLINICIANS WERE ATTEMPTING TO DEFIBRILLATE A 92 YEAR OLD MALE PT USING A 1600 MODEL DEVICE WITH THE MULTI-FUNCTION CABLE, BUT THE DEVICE WOULD NOT CHARGE. IN ADDITION, THE DEVICE SCREEN DISPLYED A DOTTED LINE AND A "CHECK ELECTRODES" ERROR MESSAGE. THE COMPLAINANT INDICATED THAT THERE WAS NO ADVERSE EFFECT ON THE PT AS A RESULT OF THE REPORTED MALFUNCTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MULTI FUNCTION CABLE (1600) MFC CABLE DSA ZOLL MEDICAL CORPORATION. 80001601 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 92 YR Other