FDA Adverse Event Other Summary report: N

PROPAQ

MDR report key: 570740 · Received January 14, 2005

Report

Report Number
3023750-2005-00001
Event Type
Other
Date Received
January 14, 2005
Report Date
December 17, 2004
Manufacturer
WELCH ALLYN PROTOCOL, INC.
Product Code
DQA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

"MEMBER OF STAFF RECEIVED AN ELECTRIC SHOCK FROM THE UNIT, ATTEMPTING TO PLUG IN TRUNK LEAD INTO THE MONITOR. A BATTERY CHARGER WAS ALSO PLUGGED IN AT THE TIME."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PROPAQ CARDIAC MONITOR DQA WELCH ALLYN PROTOCOL, INC. 206EL *

Patients

Seq Age Sex Outcome Treatment
1 NO INFO Other