BEUDAMED
    FDA Adverse Event Other Summary report: N

    LIFEPAK DEFIBRILLATOR

    MDR report key: 35110 · Received June 28, 1996

    Report

    Report Number
    35110
    Event Type
    Other
    Date Received
    June 28, 1996
    Date of Event
    April 29, 1996
    Report Date
    May 3, 1996
    Manufacturer
    PHYSIO CONTROL CO.
    Product Code
    LDD
    Report Source
    User Facility report
    Reporter Location
    GA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    EMD PERSONNEL WERE DELIVERING 360 JOULES TO PT WHO WAS LYING IN FLOOR. (PT HAD URINATED THEREFORE, CARPET WAS WET) AND RECEIVED A SHOCK. IT IS ALSO THOUGHT THAT PT'S HAND WAS TOUCHING THE EMT'S KNEE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIFEPAK DEFIBRILLATOR DEFIBRILLATOR LDD PHYSIO CONTROL CO. LIFEPAK 10 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 27 YR Other