BEUDAMED
    FDA Adverse Event Death Summary report: N

    THUMPER

    MDR report key: 437099 · Received January 10, 2003

    Report

    Report Number
    1821850-2003-00001
    Event Type
    Death
    Date Received
    January 10, 2003
    Date of Event
    December 16, 2002
    Report Date
    January 10, 2003
    Manufacturer
    MICHIGAN INSTRUMENTS, INC.
    Product Code
    DRM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TW
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    A PT LISTED AS DEAD ON ARRIVAL WAS PUT ON THE THUMPER TO PROVIDE CPR SUPPORT. IT WAS REPORTED THAT AFTER 20 SECONDS OF USE THE THUMPER COMPRESSIONS STOPPED. THE PT WAS REMOVED FROM THE DEVICE AND MANUAL CPR CONTINUED. THE PT WAS NOT REVIVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 THUMPER CARDIOPULMONARY RESUSCITATOR DRM MICHIGAN INSTRUMENTS, INC. 1007 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA