BEUDAMED
    FDA Adverse Event Death Summary report: N

    ZOLL MEDICAL CORPORATION

    MDR report key: 929875 · Received May 2, 2007

    Report

    Report Number
    929875
    Event Type
    Death
    Date Received
    May 2, 2007
    Date of Event
    April 19, 2007
    Report Date
    May 2, 2007
    Manufacturer
    ZOLL MEDICAL CORPORATION
    Product Code
    MKJ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MT, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PATIENT FOUND PULSELESS AND UNRESPONSIVE IN ROOM. FULL CODE INITIATED. ZOLL MONITOR STAT PADS APPLIED TO PATIENT, LEAD SELECTION CHECKED AND THE SETTING WAS ON PADS. ERROR MESSAGE RECEIVED "DEFIB PAD SHORT." CPR WAS CONTINUED WHILE THE MONITOR WAS CHANGED TO LEAD SETTING FOR MANUAL ATTEMPT TO IDENTIFY HEART RHYTHM. HEART RHYTHM WAS ASYSTOLE. MD NOTIFICATION WAS TAKING PLACE DURING THIS PROCESS AND HE ORDERED FOR CPR TO BE TERMINATED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZOLL MEDICAL CORPORATION DEFIBRILATOR MKJ ZOLL MEDICAL CORPORATION M SERIES

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR Death