BEUDAMED
    FDA Adverse Event Other Summary report: N

    CODEMASTER XL

    MDR report key: 260481 · Received January 27, 2000

    Report

    Report Number
    1218950-2000-00006
    Event Type
    Other
    Date Received
    January 27, 2000
    Date of Event
    December 30, 1999
    Report Date
    December 30, 1999
    Manufacturer
    AGILENT TECHNOLOGIES, INC.
    Product Code
    LDD
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE PATIENT WAS IN V-FIB, THE DOCTOR TURNED THE DIAL TO 200J AND TRIED TO CHARGE THE DEFIB USING THE CHARGE BUTTON ON THE PADDLES, THEN TRIED TO DISCHARGE ON THE PATIENT. THE DOCTOR WAS NOT SATISFIED THAT THE DEFIB HAD DISCHARGED, SO HE TRIED AGAIN. THE DOCTOR AGAIN WASN'T SATISFIED THAT IT HAD DISCHARGED AND TRIED IT ON 360J. AGAIN NO DISCHARGE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CODEMASTER XL DEFIBRILLATOR LDD AGILENT TECHNOLOGIES, INC. M1723A NA

    Patients

    Seq Age Sex Outcome Treatment
    1 59 YR Death