BEUDAMED
    FDA Adverse Event Death Summary report: N

    CODEMASTER 100

    MDR report key: 291001 · Received August 15, 2000

    Report

    Report Number
    1218950-2000-00027
    Event Type
    Death
    Date Received
    August 15, 2000
    Date of Event
    March 22, 2000
    Report Date
    March 28, 2000
    Manufacturer
    AGILENT TECHNOLOGIES, INC.
    Product Code
    LDD
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE FOLLOWING EVENT WAS REPORTED TO AGILENT TECHNOLOGIES. WHEN THE SUPV ARRIVED ON SITE, THE PT WAS ALREADY HOOKED TO THE MONITOR, WHICH WAS DISPLAYING A MESSAGE "LOW OUTPUT". SOON AFTER THAT IT DISPLAYED THE MESSAGE "PACING FAILURE". HE THEN TRIED TO TURN THE PACING FUNCTION OFF, THEN ON AGAIN, BUT THE PACING FAILURE MESSAGE CONTINUED. HE THEN OBTAINED ANOTHER DEFIB FROM HIS TRUCK AND SWAPPED THE PADDLES TO THE NEW DEFIB. THIS ONE PACED OK. ABOUT 2 TO 3 MINUTES WERE LOST AS A RESULT OF THE PACING FAILURE ACCORDING TO THE USER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CODEMASTER 100 PORTABLE DEFIB/MON LDD AGILENT TECHNOLOGIES, INC. M2475B NA

    Patients

    Seq Age Sex Outcome Treatment
    1 59 YR Death