FDA Adverse Event
Injury
Summary report: N
CARDINAL HEALTH BATTERY
MDR report key: 2511286
·
Received March 23, 2012
Report
- Report Number
- MW5024814
- Event Type
- Injury
- Date Received
- March 23, 2012
- Date of Event
- March 22, 2012
- Report Date
- March 23, 2012
- Manufacturer
- CARDINAL HEALTH
- Product Code
- DSZ
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- KY, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
A 9V BATTERY POWERING TEMPORARY PACEMAKER FAILED. PT WAS PACEMAKER DEPENDENT AND HAD CARDIAC STANDSTILL. EVENT REAPPEARED AFTER REINTRODUCTION: YES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CARDINAL HEALTH BATTERY | 9V BATTERY | DSZ | CARDINAL HEALTH | 9V | 110223-SH |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 59 YR | Life Threatening |