BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ZOLL DEFIBRILLATOR

    MDR report key: 3849574 · Received June 2, 2014

    Report

    Report Number
    3849574
    Event Type
    Injury
    Date Received
    June 2, 2014
    Date of Event
    May 22, 2014
    Report Date
    May 27, 2014
    Manufacturer
    ZOLL MEDICAL CORP.
    Product Code
    MKJ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    OK, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT. IN CATH LAB FOR CARDIOVERSION; PT. RECEIVED DEFIB SHOCK INSTEAD OF SYNCHRONIZED SHOCK FOR CARDIOVERSION OF ARTERIAL FIBRILLATION; IMMEDIATELY RECOGNOZED WHEN PT. EXPERIENCED RUN OF VT/VF; RECEIVED DEFIB SHOCK - NSR. NURSE NOT SURE IF SHE PUSHED SYCHRNOIZED BUTTON BEFORE SHOCKING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    322068 ZOLL DEFIBRILLATOR DEFIBRILLATOR MKJ ZOLL MEDICAL CORP. R SERIES ALS

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR Required Intervention