43110A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1993-08-12 for 43110A manufactured by Hewlett-packard.

Event Text Entries

[4152] 24 year old hospital employee without apparent medical history sustained cardiac arrest. Ekg showed v-fib. Defibrillator failed to discharge; low battery light noted. Machine plugged into outlet and again failed to discharge. Another defibrillator utilized. Junctional rhythm restored and continued. Patient transferred to ccu and subsequently expired. Defibrillator in question removed from patient use and sent to bioengineering. Evaluation revealed: worn energy switch; battery charger board-incapable of charging it battery is low and unit is plugged into outlet. This battery charger borad has been upgraded. The battery was tested and found without defectsdevice 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-oct-92. Service provided by: user facility biomedical/bioengineering department. 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, performance tests performed. Results of evaluation: electrical problem, modification of device. Conclusion: device failure occurred and was related to event. Certainty of device as cause of or contributor to event: invalid data. Corrective actions: device temporarily removed from service, user education provided. Invalid data - on device destroyed/disposed of status.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number6298
MDR Report Key6298
Date Received1993-08-12
Date of Report1993-07-15
Date of Event1993-06-25
Date Facility Aware1993-06-25
Report Date1993-07-15
Date Reported to FDA1993-07-15
Date Reported to Mfgr1993-06-29
Date Added to Maude1993-08-30
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Generic NameDEFIBRILLATOR
Product CodeDRK
Date Received1993-08-12
Model Number43110A
ID NumberE# 15036
OperatorOTHER HEALTH CARE PROFESSIONAL
Device Availability*
Device Age01-APR-86
Implant FlagN
Device Sequence No1
Device Event Key5987
ManufacturerHEWLETT-PACKARD


Patients

Patient NumberTreatmentOutcomeDate
101. Other 1993-08-12

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