FDA Adverse Event Malfunction Summary report: N

5180020

MDR report key: 5180020 · Received October 27, 2015

Report

Report Number
5180020
Event Type
Malfunction
Date Received
October 27, 2015
Date of Event
July 15, 2015
Report Date
September 23, 2015
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
NC, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE FOLLOWING ELEMENTS HAVE BLANK DATA.

Description of Event or Problem · 1

WHILE AT PATIENT'S RESIDENCE EVALUATING HER FOR CHEST, BACK AND ABDOMINAL PAIN, EKG ELECTRODES FAILED TO REGISTER A RHYTHM ON MONITOR EVEN AFTER MULTIPLE ATTEMPTS AND NEW ELECTRODES REPLACED MULTIPLE TIMES. FINALLY AFTER 10 MINUTES FROM INITIAL PATIENT CONTACT, RAN BACK TO AMBULANCE AND OPEN SEALED CABINET AND FOUND 3M RED DOT ELECTRODES AS LAST ATTEMPT TO GET AN EKG BEFORE CALLING LEAD MEDIC AND MONITOR REGISTERED; BEGAN ASSESSMENT AS SOON AS THEY WERE PLACED ON PT. ELECTRODES WERE LEFT WITH LEAD MEDIC AND A SPECIAL REPORT ALSO FILED.

Description of Event or Problem · 1

WHILE AT PATIENT'S RESIDENCE EVALUATING HER FOR CHEST, BACK AND ABDOMINAL PAIN, COVIDIEN (B)(6) EKG ELECTRODES FAILED TO REGISTER A RHYTHM ON MONITOR EVEN AFTER MULTIPLE ATTEMPTS AND NEW ELECTRODES REPLACED MULTIPLE TIMES. FINALLY AFTER 10 MINUTES FROM INITIAL PATIENT CONTACT, RAN BACK TO AMBULANCE AND OPEN SEALED CABINET AND FOUND 3M RED DOT ELECTRODES AS LAST ATTEMPT TO GET AN EKG BEFORE CALLING LEAD MEDIC AND MONITOR REGISTERED; BEGAN ASSESSMENT AS SOON AS THEY WERE PLACED ON PT. ELECTRODES WERE LEFT WITH LEAD MEDIC AND A SPECIAL REPORT ALSO FILED.

Patients

Seq Age Sex Outcome Treatment
1