BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PHYSIO-CONTROL LIFEPAK 90

    MDR report key: 272517 · Received April 4, 2000

    Report

    Report Number
    272517
    Event Type
    Malfunction
    Date Received
    April 4, 2000
    Date of Event
    February 22, 2000
    Report Date
    March 28, 2000
    Manufacturer
    PHYSIO-CONTROL
    Product Code
    LDD
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DEFIBRILLATOR MALFUNCTIONED DURING A CARDIOVERSION PROCEDURE IN EP LAB ON 2/22/00. DEFIBRILLATOR FAILED TO DISCHARGE WHEN THE BUTTON WAS PRESSED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PHYSIO-CONTROL LIFEPAK 90 DEFIBRILLATOR LDD PHYSIO-CONTROL 805460-01 *

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR