FDA Adverse Event
Death
Summary report: N
CPR STAT PADZ
MDR report key: 4176776
·
Received September 29, 2014
Report
- Report Number
- 1220908-2014-02428
- Event Type
- Death
- Date Received
- September 29, 2014
- Date of Event
- August 20, 2014
- Report Date
- September 9, 2014
- Manufacturer
- ZOLL MEDICAL CORPORATION
- Product Code
- MLN
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WI, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
ZOLL MEDICAL CORP HAS NOT RECEIVED THE PRODUCT FOR EVALUATION AND THIS COMPLAINT IS STILL UNDER INVESTIGATION.
Description of Event or Problem · 1
COMPLAINANT ALLEGED THAT WHILE ATTEMPTING TO TREAT A PT, THE ASSOCIATED DEFIBRILLATOR WAS UNABLE TO OBTAIN AN ECG SIGNAL VIA ELECTRODE RADS. COMPLAINANT INDICATED THAT THE CLINICIAN OBTAINED ANOTHER DEVICE TO CONTINUE TREATING THE PT. COMPLAINANT INDICATED THAT THE PT SUBSEQUENTLY EXPIRED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 605414 | CPR STAT PADZ | ELECTRODE | MLN | ZOLL MEDICAL CORPORATION | 8900-0400 | 4813 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK | Death |