PHYSIO-CONTROL

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-12-06 for PHYSIO-CONTROL manufactured by Physio-control Inc..

Event Text Entries

[94353312] A (b)(6) male arrived to the ed post cardiac arrest. The pt underwent angiography with stent to lad and diagonal as well as placement of intra-aortic balloon pump. He was started on the hypothermia protocol via the arctic sun. Pt had a 2nd cardiac arrest in the ccu requiring multiple rounds of cpr and 6 shocks to achieve rosc (return of spontaneous circulation). During the first shock an arc was seen across the pt's chest. There was a burn that occurred under the true cpr device. The device was removed during the subsequent 5 shocks and then taken out of service.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5073804
MDR Report Key7095685
Date Received2017-12-06
Date of Report2017-12-04
Date of Event2017-11-18
Date Added to Maude2017-12-07
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NamePHYSIO-CONTROL
Generic NameTRUE CPR
Product CodeLIX
Date Received2017-12-06
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerPHYSIO-CONTROL INC.
Manufacturer AddressREDMOND WA US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2017-12-06

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