BEUDAMED
    FDA Adverse Event Death Summary report: N

    PHYSIO CONTROL/LIFEPACK 9-P

    MDR report key: 488421 · Received July 25, 2003

    Report

    Report Number
    488421
    Event Type
    Death
    Date Received
    July 25, 2003
    Date of Event
    July 19, 2003
    Report Date
    July 22, 2003
    Manufacturer
    PHYSIO CONTROL
    Product Code
    LDD
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    WV, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    AFTER CODE IT WAS NOTED THAT DEFIB PADDLES HAD BEEN DISCONNECTED FROM MONITOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PHYSIO CONTROL/LIFEPACK 9-P DEFIBRILLATOR LDD PHYSIO CONTROL LIFEPAK 9 *

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Death