BEUDAMED
    FDA Adverse Event Death Summary report: N

    CODEMASTER XL

    MDR report key: 506065 · Received January 14, 2004

    Report

    Report Number
    1218950-2004-00017
    Event Type
    Death
    Date Received
    January 14, 2004
    Date of Event
    December 8, 2003
    Report Date
    December 12, 2003
    Manufacturer
    AGILENT TECHNOLOGIES, INC.
    Product Code
    LDD
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE DEFIBRILLATOR WOULDN'T POWER UP ON BATTERY POWER, BUT DID FUNCTION ON AC POWER. THE PT EXPIRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CODEMASTER XL DEFIBRILLATOR LDD AGILENT TECHNOLOGIES, INC. M1723A NA

    Patients

    Seq Age Sex Outcome Treatment
    1 92 YR Death