FDA Adverse Event Other Summary report: N

HEARTSTART

MDR report key: 702731 · Received April 21, 2006

Report

Report Number
9610483-2006-00083
Event Type
Other
Date Received
April 21, 2006
Date of Event
April 27, 2000
Report Date
May 4, 2000
Manufacturer
LAERDAL MEDICAL A.S.
Product Code
NKJ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

DURING AN INCIDENT IN 2000 INVOLVING A PATIENT THIS DEFIBRILLATOR ANALYZED, STARTED TO CHARGE AND THEN SHUT DOWN PROMPTING "BATTERY ???" (NOT SURE OF THE EXACT PROMPT). A SECOND BATTERY WAS TRIED AND THE SAME THING HAPPENED 6 TIMES, THE UNIT SHUT DOWN WITH A PROMPT. A COUPLE OF TIMES THEY SAW A "SERVICE MANDATORY" MESSAGE. ALS ARRIVED AND SHOCKED THE PATIENT. THE PATIENT WAS PRONOUCED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HEARTSTART SAED NKJ LAERDAL MEDICAL A.S. HS2000 NA

Patients

Seq Age Sex Outcome Treatment
1 74 YR Other