BEUDAMED
    FDA Adverse Event Death Summary report: N

    WELCH - ALLYN MRL

    MDR report key: 686566 · Received November 26, 2005

    Report

    Report Number
    686566
    Event Type
    Death
    Date Received
    November 26, 2005
    Date of Event
    November 11, 2005
    Report Date
    November 11, 2005
    Manufacturer
    MEDICAL RESEARCH LABS
    Product Code
    LDD
    Report Source
    User Facility report
    Reporter Location
    NM, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    TRANSPORTING A MALE WITH MI TO THE ER. VIFIB CODE 5 MINUTES OUT FROM HOSP. CONNECTED TO DEFIB PADS/DEFIBRILLATOR. MRL DEFIBRLLLATOR DID NOT DELIVER CHOSEN JOULES TO PT. DEFIBRILLATOR INDICATED CORRECT DESIRED JOULES TO BE DELIVERED. ACTUAL DELIVERED JOULES NOTED ON MRL LOG PRINTOUT NOTED NO SHOCKS 1 JOULE DELIVERED TO PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 WELCH - ALLYN MRL MRL PC50 LDD MEDICAL RESEARCH LABS PIC 50 *

    Patients

    Seq Age Sex Outcome Treatment
    1 52 YR Death