BEUDAMED
    FDA Adverse Event Injury Summary report: N

    *

    MDR report key: 385267 · Received March 19, 2002

    Report

    Report Number
    MW1024513
    Event Type
    Injury
    Date Received
    March 19, 2002
    Date of Event
    March 12, 1998
    Report Date
    March 18, 2002
    Manufacturer
    NA
    Product Code
    LDD
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    KS, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    ELECTROPHYSIOLOGY STUDY WITH INDUCTION OF VENTRICULAR FIBRILLATION. VENTRICULAR FIBRILLATION WAS INDUCED AT 400/250/190. THIS ARRYTHMIA REQUIRED EXTERNAL CARDIOVERSION AT 360 JOULES FOR TERMINATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * FIBRILLATOR LDD NA NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 44 YR Hospitalization| L