BEUDAMED
    FDA Adverse Event Other Summary report: N

    HEARTSTART

    MDR report key: 638636 · Received September 30, 2005

    Report

    Report Number
    9610483-2005-00079
    Event Type
    Other
    Date Received
    September 30, 2005
    Date of Event
    March 9, 2003
    Report Date
    March 11, 2003
    Manufacturer
    LAERDAL MEDICAL A/S
    Product Code
    MKT
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    A PT EXPERIENCED CHEST PAINS WHILE SKIING. THE CREW UNSUCCESSFULLY ATTEMPTED TO POWER-ON A DEFIBRILLATOR ABOUT 50 TIMES. THE PT WAS TRANSPORTED TO A HOSP. THE PT EXPERIENCED TRIGEMINAL PVC'S WHICH WENT AWAY AFTER OXYGEN WAS ADMINISTERED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HEARTSTART SAED MKT LAERDAL MEDICAL A/S HS3000QR 9309

    Patients

    Seq Age Sex Outcome Treatment
    1 85 YR Other