BEUDAMED
    FDA Adverse Event Injury Summary report: N

    AGILENT TECHNOLOGY

    MDR report key: 322954 · Received March 27, 2001

    Report

    Report Number
    MW1021474
    Event Type
    Injury
    Date Received
    March 27, 2001
    Date of Event
    March 20, 2001
    Report Date
    March 21, 2001
    Manufacturer
    AGILENT TECHNOLOGY
    Product Code
    LDD
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    DURING ATTEMPTED CARDIOVERSION OF UNSTABLE PT USING AGILENT HEARTSTREAM XL BI-PHASIC CARDIOVERTER, UNIT WOULD NOT CHARGE FOR SYNCHRONIZED CARDIOVERSION AFTER SEVERAL ATTEMPTS. UNIT DID FINALLY CHARGE AFTER THIRD ATTEMPTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    13446 AGILENT TECHNOLOGY BI-PHASIC CARDIOVERTER / PACER LDD AGILENT TECHNOLOGY M4735A *

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR