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