BEUDAMED
    FDA Adverse Event Death Summary report: N

    LIFEPAK WITH QUICK COMBO ADAPTOR

    MDR report key: 33311 · Received May 15, 1996

    Report

    Report Number
    33311
    Event Type
    Death
    Date Received
    May 15, 1996
    Date of Event
    May 3, 1996
    Report Date
    May 15, 1996
    Manufacturer
    PHYSIO CONTROL
    Product Code
    MKJ
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    VA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ANOTHER DEFIB WAS BROUGHT INTO THE PT'S ROOM. THE PADS WERE NOT CHANGED. THE ANALYZE/CHARGE SEQUENCE WAS AGAIN FOLLOWED (200 JOULES) AND AT "DISCHARGE" THERE WAS AGAIN NO APPARENT CHANGE IN THE PT'S CONDITION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIFEPAK WITH QUICK COMBO ADAPTOR DEFIBRILLATOR W/QUICK COMBO ADAPTOR MKJ PHYSIO CONTROL LP9P

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR Death| O