FDA Adverse Event
Injury
Summary report: N
RESQPUMP
MDR report key: 5496414
·
Received March 11, 2016
Report
- Report Number
- 3000143502-2016-00002
- Event Type
- Injury
- Date Received
- March 11, 2016
- Date of Event
- December 10, 2015
- Report Date
- March 11, 2016
- Manufacturer
- ADVANCED CIRCULATORY
- Product Code
- PIZ
- PMA / PMN Number
- P110024
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OK, US
- Reporter Occupation
- HEALTH PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
A (B)(6) FEMALE, CARDIAC ARREST, POSSIBLE PNEUMOTHORAX.
Description of Event or Problem · 1
A (B)(6) FEMALE, CARDIAC ARREST, POSSIBLE PNEUMOTHORAX.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 152539 | RESQPUMP | RESQPUMP | PIZ | ADVANCED CIRCULATORY | 12-0823-000 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 69 YR | Other |