BEUDAMED
    FDA Adverse Event Other Summary report: N

    LIFE PAK 9P

    MDR report key: 433211 · Received December 11, 2002

    Report

    Report Number
    MW4003391
    Event Type
    Other
    Date Received
    December 11, 2002
    Date of Event
    August 21, 2002
    Report Date
    November 6, 2002
    Manufacturer
    PHYSIO CONTROL
    Product Code
    LDD
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT SUSTAINED SUPERFICIAL BURN WHEN DEFIB PAD EDGE CAUGHT FIRE. FLAME BLOWN OUT IMMEDIATELY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIFE PAK 9P DEFIBRILLATOR PAD LDD PHYSIO CONTROL LIFE PAK 9P *

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR Other