BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDTRONIC PHYSIO CONTROL

    MDR report key: 312159 · Received January 10, 2001

    Report

    Report Number
    312159
    Event Type
    Injury
    Date Received
    January 10, 2001
    Date of Event
    January 10, 2001
    Report Date
    January 10, 2001
    Manufacturer
    MEDTRONIC PHYSIO CONTROL
    Product Code
    LDD
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    PARAMEDIC

    Narratives

    Description of Event or Problem · 1

    AT SCENE FOUND PT WITH NO PULSE OR RESPIRATIONS. ATTACHED PT TO LIFEPAK 12 MONITOR. WOULD NOT GIVE ANY TYPE OF READING. ATTEMPTED TO CHANGE LEADS, CHECKED ALL CONNECTIONS, TURNED MONITOR OFF THEN BACK ON. ALL THESE MADE NO CHANGE. RED SERVICE LIGHT WAS ON AND ONLY ONE LINE ACROSS SCREEN WHEN THERE IS NORMALLY THREE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1055 MEDTRONIC PHYSIO CONTROL LIFEPAK 12 LDD MEDTRONIC PHYSIO CONTROL VLP12-02-000652 *

    Patients

    Seq Age Sex Outcome Treatment
    1 89 YR Hospitalization| L