BEUDAMED
    FDA Adverse Event Death Summary report: N

    CODEMASTER XL+

    MDR report key: 507465 · Received January 22, 2004

    Report

    Report Number
    507465
    Event Type
    Death
    Date Received
    January 22, 2004
    Date of Event
    December 17, 2003
    Report Date
    January 5, 2004
    Manufacturer
    HEWLETT PACKARD CO.
    Product Code
    LDD
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT WAS BROUGHT INTO E.R. IN CARDIAC ARREST. ADULT DEFIB. ELECTRODES WERE PLACED ON THE PT AND CONNECTED TO THE DEFIBRILLATOR WITH THE PROPER PT CABLE. THE DEFIB. WAS THEN CHARGED AND AN ATTEMPT WAS MADE TO DEFIB. THE PT, HOWEVER AS RECORDER STRIPS SHOE THE RESISTENCE TO THE PADS WAS HIGH AND THE DEFIB. DISARMED ITSELF. THE CODE TEAM THEN USED THE PADDLES WITH SUCCESS. THE BIOMED TECH WAS ABLE TO REPRODUCE THE SAME FAILED ATTEMPT BY CONNECTING THE PAD CONNECTOR TO THE PT CABLE UPSIDE-DOWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CODEMASTER XL+ DEFIBRILLATOR/MONITOR WITH PACER LDD HEWLETT PACKARD CO. M1722A NA

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR Death