BEUDAMED
    FDA Adverse Event Death Summary report: N

    CODEMASTER 100

    MDR report key: 334283 · Received May 21, 2001

    Report

    Report Number
    1218950-2001-00138
    Event Type
    Death
    Date Received
    May 21, 2001
    Date of Event
    April 24, 2001
    Report Date
    April 24, 2001
    Manufacturer
    AGILENT TECHNOLOGIES, INC.
    Product Code
    LDD
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NE, US
    Reporter Occupation
    PARAMEDIC

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED TO AGILENT TECHNOLOGIES THAT THE UNIT DID NOT PACE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    23709 CODEMASTER 100 PORTABLE DEFIB/MON LDD AGILENT TECHNOLOGIES, INC. M2475B NA

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR Death