FDA Adverse Event
Malfunction
Summary report: N
RESPONDER 1500
MDR report key: 40927
·
Received September 10, 1996
Report
- Report Number
- 2124823-1996-00008
- Event Type
- Malfunction
- Date Received
- September 10, 1996
- Date of Event
- June 6, 1996
- Report Date
- August 12, 1996
- Manufacturer
- MARQUETTE ELECTRONICS, INC.
- Product Code
- MKJ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- ATTORNEY
Narratives
Description of Event or Problem · 1
CUSTOMER ALLEGES BATTERY FAILED DURING A MEDICAL EMERGENCY ON BOARD A SHIP RESULTING IN PT DEATH. REPEATED ATTEMPTS BY MFR TO OBTAIN ADD'L EVENT AND PT DETAILS HAVE BEEN UNSUCCESSFUL. CUSTOMER STATES THIS DID NOT CAUSE OR CONTRIBUTE TO PT OUTCOME. MANUFACTURER'S RECORDS INDICATE BATTERY IN QUESTION WAS BEYOND RECOMMENDED USEFUL LIFE AS STATED IN DEVICE LABELING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | RESPONDER 1500 | DEFIBRILLATOR D.C | MKJ | MARQUETTE ELECTRONICS, INC. | 1500 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN |