FDA Adverse Event Injury Summary report: N

ZO11-NTP

MDR report key: 6739 · Received August 2, 1993

Report

Report Number
6739
Event Type
Injury
Date Received
August 2, 1993
Date of Event
January 30, 1993
Manufacturer
ZMI CORPORATION
Product Code
DRO
Adverse Event
Yes
Report Source
User Facility report

Narratives

Description of Event or Problem · 1

ON 1/30/93 AT 1:52 PM, AN EMERGENCY HELICOPTER WAS ON ROUTE WITH PATIENT. PATIENT HAD AN EXTERNAL PACEMAKER AT A RATE OF 70 WITH GOOD CAPTURE. PATIENT'S BLOOD PRESSURE WAS 70/PALP. THE PATIENT HAD EARLIER EXPERIENCED A CARDIAC ARREST AND WAS UNRESPONSIVE. AT 2:10PM, THE PACEMAKER LOST CAPTURE AND AN INTRINSIC JUNCTIONAL RHYTHM WAS PRESENT. AT 2:20PM, THE PATIENT ARRIVED AT HER DESTINATION. DURING THE PAST TEN MUNUTES THE PATIENT'S BLOOD PRESSURE WAS BETWEEN 50-64/DOPPLER. FOLLOW-UP THE NEXT DAY FOUND THE PATIENT TO BE IN CRITICAL CONDITION.DEVICE NOT LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: CRITICAL CONDITION. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.INVALID DATA - ON DEVICE SERVICE/MAINTENANCE. DATE LAST SERVICED: 01-JAN-93. SERVICE PROVIDED BY: INVALID DATA. SERVICE RECORDS AVAILABLE.INVALID DATA - REGARDING WHETHER EVENT PRESENTS IMMINENT HAZARD. INVALID DATA - WHETHER DEVICE USED AS LABELED/INTENDED.DEVICE WAS EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: ACTUAL DEVICE INVOLVED IN INCIDENT WAS EVALUATED, ELECTRICAL TESTS PERFORMED, MECHANICAL TESTS PERFORMED, PERFORMANCE TESTS PERFORMED. RESULTS OF EVALUATION: BATTERY/PACK. CONCLUSION: DEVICE FAILURE INDIRECTLY CONTRIBUTED TO EVENT. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: INVALID DATA. CORRECTIVE ACTIONS: NO DATA. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ZO11-NTP EXTERNAL PACEMAKER DRO ZMI CORPORATION NTP-1000 NA

Patients

Seq Age Sex Outcome Treatment
1 80 YR Other