BEUDAMED
    FDA Adverse Event Death Summary report: N

    PHYSIO-CONTROL LIFE PAK

    MDR report key: 34384 · Received June 27, 1996

    Report

    Report Number
    34384
    Event Type
    Death
    Date Received
    June 27, 1996
    Date of Event
    June 18, 1996
    Report Date
    June 25, 1996
    Manufacturer
    PHYSIO-CONTROL
    Product Code
    LDD
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    LA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    UNABLE TO ATTACH DEFIBRILLATOR CABLE TO CASSETTE ATTEMPTED WITH THREE DIFFERENT SETS OF CABLES TWO DIFFERENT CRASH CARTS USED FOURTH SET OF CABLES SEATED PT WAS THEN DEFIBRILLATED THREE TIMES UNSUCCESSFULLY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PHYSIO-CONTROL LIFE PAK DEFIBRILLATOR UNIT INT & EXT LDD PHYSIO-CONTROL 802903-00 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR Death