BEUDAMED
    FDA Adverse Event Death Summary report: N

    CODEMASTER XL+

    MDR report key: 40304 · Received September 26, 1996

    Report

    Report Number
    3017388-1996-00041
    Event Type
    Death
    Date Received
    September 26, 1996
    Date of Event
    September 5, 1996
    Manufacturer
    HEWLETT-PACKARD CO
    Product Code
    LDD
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    THE OPERATOR TURNED ON THE DEFIB AND SET THE ENERGY SELECT SWITCH TO 3J, THINKING THAT IT WAS SET TO 200J BECAUSE THE OPPOSITE END OF THE POINTER ON THE SWITCH POINT TO 200J WHEN SET TO 3J. THE DEFIB WAS TESTED AT 3J. THE PADDLES WERE THEN APPLIED TO THE PT WITH 60 OHMS IMPEDANCE AND DELIVERED 3J. THE SWITCH WAS THEN MOVED TO 7J (THINKING IT WAS 360J). THE PADDLES WERE APPLIED WITH AN IMPEDANCE OF 53 OHMS AND 7J WAS DELIVERED. THE PT EXPIRED. THE UNIT WAS TESTED BY THE HOSPITAL'S BIO MED DEPT WITH NO TROUBLE FOUND. IT HAS BEEN RETURNED TO SVC IN THE EMERGENCY DEPT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CODEMASTER XL+ DEFIBRILLATOR LDD HEWLETT-PACKARD CO M1722B NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Death