BEUDAMED
    FDA Adverse Event Death Summary report: N

    DEFIBRILLATOR

    MDR report key: 21957 · Received April 20, 1995

    Report

    Report Number
    21957
    Event Type
    Death
    Date Received
    April 20, 1995
    Date of Event
    April 20, 1995
    Report Date
    April 20, 1995
    Manufacturer
    SPACE LABS
    Product Code
    LDD
    Report Source
    User Facility report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    ATTEMPTING TO DEFIBRILLATE PT FOR THE 3RD TIME, WHEN ARC OF CURRENT WAS NOTED. NOISE WAS HEARD AND THE MONITOR CEASED TO FUNCTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DEFIBRILLATOR DEFIBRILLATOR LDD SPACE LABS 4045

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Death