BEUDAMED
    FDA Adverse Event Death Summary report: N

    3202674-000 REDI-PAK 1P 10B 50

    MDR report key: 590290 · Received April 7, 2005

    Report

    Report Number
    1219103-2005-00003
    Event Type
    Death
    Date Received
    April 7, 2005
    Date of Event
    March 16, 2005
    Report Date
    April 7, 2005
    Manufacturer
    TYCO HEALTHCARE/KENDALL
    Product Code
    LDD
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WA, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    WHEN THE MEDTRONIC LP500 AED WAS USED WITH THE SET OF THE PM20020 ELECTRODES, THE AED ALARMED "CONNECT ELECTRODES" AND WOULDN'T ANALYZE OR SHOCK THE PT. THE LOT NUMBER IS UNK. THE CUSTOMER PURCHASED THIS PRODUCT FROM MEDTRONIC IN 2/2003. THE END-USER WAS NOT ABLE TO PROVIDE A SAMPLE. NO ADDITIONAL INFO IS AVAILABLE ABOUT THE OUTCOME OF THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 3202674-000 REDI-PAK 1P 10B 50 DEFIBRILLATION PADS LDD TYCO HEALTHCARE/KENDALL * UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other