BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HEWITT-PACKER/AGILENT

    MDR report key: 298212 · Received September 27, 2000

    Report

    Report Number
    298212
    Event Type
    Injury
    Date Received
    September 27, 2000
    Date of Event
    September 16, 2000
    Report Date
    September 27, 2000
    Manufacturer
    AGILENT TECHNOLOGIES INC.
    Product Code
    MLN
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT BECAME BRADY CARDIC. PLACED ON CODEMASTER DEFIBRILLATOR. PT BECAME ASYSTOLIC. PACING CABLE WOULD NOT FUNCTION. REQUIRED STUFF TO OBTAIN SECOND PACING CABLE. DELAY DUE TO MALFUNCTION OF INITIAL PACING CABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HEWITT-PACKER/AGILENT CODEMASTER-PACING CABLE MLN AGILENT TECHNOLOGIES INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Life Threatening