BEUDAMED
    FDA Adverse Event Death Summary report: N

    NONE

    MDR report key: 2534562 · Received April 5, 2012

    Report

    Report Number
    3030677-2012-00308
    Event Type
    Death
    Date Received
    April 5, 2012
    Date of Event
    March 1, 2012
    Report Date
    March 12, 2012
    Manufacturer
    PHILIPS MEDICAL SYSTEMS (HTST)
    Product Code
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). PENDING DEVICE EVALUATION.

    Description of Event or Problem · 1

    AED DEPLOYED FOR ATTEMPTED RESUSCITATION. SUBJECT WAS NOT RESUSCITATED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NONE NA PHILIPS MEDICAL SYSTEMS (HTST)

    Patients

    Seq Age Sex Outcome Treatment
    1 34 YR Death