BEUDAMED
    FDA Adverse Event Other Summary report: N

    PHYSIO CONTROL INC.

    MDR report key: 6050334 · Received October 19, 2016

    Report

    Report Number
    MW5065548
    Event Type
    Other
    Date Received
    October 19, 2016
    Date of Event
    October 11, 2016
    Report Date
    October 13, 2016
    Manufacturer
    PHYSIO-CONTROL INC.
    Product Code
    MKJ
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    LIFE PACK WAS APPLIED TO PT. MONITOR WAS UNABLE TO GIVE A CARDIAC RHYTHM. MONITOR TURNED OFF AND ON IN ATTEMPT TO CORRECT ISSUE. DID NOT CORRECT. ANOTHER UNIT WAS BROUGHT IN AND UTILIZED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    692818 PHYSIO CONTROL INC. LIFEPAK 20 MKJ PHYSIO-CONTROL INC. LIFE PAK 20 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR