Description of Event or Problem · 1
ON 1/22/93, WISHARD AMBULANCE CREW RESPONDED TO RUN 2956 N. MERIDIAN. 29/W/F C/O SOB. PATIENT HOOKED TO MONITOR WITH SVT NOTED. REMAINED IN SVT FOR 9 MIN., CONVERTED TO SR WITH RUN OF VT (MONITOR RAN OUT OF PAPER). MONITOR SHOWED V-FIB AND PT. WAS ALERT AND CONSCIOUS, AND WAS ADKED SEVERAL TIMES. MONITOR H & H 87439 ALONG WITH CTS CABLES & BATTERIES WERE TURNED INDEVICE NOT LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: CRITICAL CONDITION. INVALID DATA - REGARDING MULTIPLE PATIENT INVOLVEMENT.DEVICE SERVICED IN ACCORDANCE WITH SERVICE SCHEDULE. DATE LAST SERVICED: 01-JAN-93. SERVICE PROVIDED BY: USER FACILITY BIOMEDICAL/BIOENGINEERING DEPARTMENT. SERVICE RECORDS AVAILABLE.NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. DEVICE USED AS LABELED/INTENDED.DEVICE WAS EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: ACTUAL DEVICE INVOLVED IN INCIDENT WAS EVALUATED, ELECTRICAL TESTS PERFORMED, MECHANICAL TESTS PERFORMED, VISUAL EXAMINATION. RESULTS OF EVALUATION: INVALID DATA. CONCLUSION: INVALID DATA. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: INVALID DATA. CORRECTIVE ACTIONS: DEVICE RECALLED BY MANUFACTURER/DISTRIBUTOR, DEVICE TEMPORARILY REMOVED FROM SERVICE. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.