BEUDAMED
    FDA Adverse Event Other Summary report: N

    1052

    MDR report key: 3672211 · Received April 10, 2006

    Report

    Report Number
    3020115-2006-00001
    Event Type
    Other
    Date Received
    April 10, 2006
    Report Date
    April 10, 2006
    Manufacturer
    PARKS MEDICAL ELECTRONICS, INC.
    Product Code
    IYN
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OR, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    (B)(6) (RN) STATED THAT WHEN THE 1052 DOPPLER WAS LAYING ON THE TABLE (SIEMENS OPERATING TABLE), HE UNPLUGGED THE DOPPLER PROBE WITH HIS RIGHT HAND WHILE HIS LEFT HAND WAS ON THE RAIL AT THE FOOT OF THE TABLE. HE INDICATED HE RECEIVED A SHOCK AT THAT TIME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 1052 DUAL FREQUENCY DIRECTIONAL DOPPLER IYN PARKS MEDICAL ELECTRONICS, INC. 1052

    Patients

    Seq Age Sex Outcome Treatment
    1