FDA Adverse Event Death Summary report: N

LIFEPAK 8

MDR report key: 7348 · Received January 3, 1994

Report

Report Number
7348
Event Type
Death
Date Received
January 3, 1994
Date of Event
December 23, 1993
Report Date
January 3, 1994
Manufacturer
PHYSIO-CONTROL
Product Code
LDD
Adverse Event
Yes
Report Source
User Facility report

Narratives

Description of Event or Problem · 1

PT CODED AND NEEDED TO BE DEFIBRILLATED. MACHINE WOULD NOT WORK, NEVER WOULD CHANGE AND HAD TO GET ANOTHER MACHINE THAT DID WORK.DEVICE NOT LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: CRITICAL CONDITION. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.DEVICE NOT SERVICED IN ACCORDANCE WITH SERVICE SCHEDULE. DATE LAST SERVICED: 01-JUL-93. SERVICE PROVIDED BY: FACTORY TRAINED/AUTHORIZED/OWNED SERVICE ORGANIZATION. SERVICE RECORDS AVAILABLE.NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. DEVICE USED AS LABELED/INTENDED.DEVICE WAS EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: ACTUAL DEVICE INVOLVED IN INCIDENT WAS EVALUATED, MECHANICAL TESTS PERFORMED. RESULTS OF EVALUATION: OTHER, OTHER, DEFIBRILLATOR SUBASSEMBLY. CONCLUSION: DEVICE FAILED JUST PRIOR TO USE, DEVICE FAILURE RELATED TO PATIENT CONDITION, DEVICE FAILURE DIRECTLY CONTRIBUTED TO EVENT. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: YES. CORRECTIVE ACTIONS: DEVICE PERMANENTLY REMOVED FROM SERVICE, DEVICE RETURNED TO MANUFACTURER/DEALER/DISTRIBUTOR. THE DEVICE WAS NOT DESTROYED/DISPOSED OF.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LIFEPAK 8 CARDIAC MONITOR AND DC DEFIBRILLATOR LDD PHYSIO-CONTROL CM LP8, DEF LP8 NA

Patients

Seq Age Sex Outcome Treatment
1 74 YR Death