BEUDAMED
    FDA Adverse Event Death Summary report: N

    MULTI FUNCTION CABLE (1600)

    MDR report key: 539413 · Received August 11, 2004

    Report

    Report Number
    1220908-2004-01576
    Event Type
    Death
    Date Received
    August 11, 2004
    Report Date
    July 12, 2004
    Manufacturer
    ZOLL MEDICAL CORP.
    Product Code
    DSA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    EMERGENCY MEDICAL TECHNICIAN

    Narratives

    Description of Event or Problem · 1

    WHILE ATTEMPTING TO DEFIBRILLATE A PT (AGE & GENDER UNKNOWN) THE MULTI-FUNCTION CABLE CAUSED THE ASSOCIATED DEFIBRILLATOR TO DISPLAY A "CHECK LEADS" MESSAGE. COMPLAINANT INDICATED THAT THE CLINICIAN OBTAINED ANOTHER MULTI-FUNCTION CABLE TO CONTINUE TREATING THE PT. COMPLAINANT INDICATED THAT THE PT SUBSEQUENTLY EXPIRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MULTI FUNCTION CABLE (1600) MFC CABLE DSA ZOLL MEDICAL CORP. 80001601 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Death