MEDI-TRACE CADENCE (17)211211

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-02-19 for MEDI-TRACE CADENCE (17)211211 manufactured by Covidien/cardinal Health 200, Llc.

Event Text Entries

[180718825] Scheduled cardioversion. Covidien adult multi-function defibrillation patches were applied anterior/posterior to chest and back and connected to zoll defibrillator, after initial shock o f150 joules and unsuccessful cardioversion, staff noticed a faint burning smell and heard a pop. Pad placement and adherence were checked and agrees to be correctly placed and adhered. Second shock was delivered at 200 joules (cardioversion successful) with similar result of burning smell. After pads were removed, patient was found to have small burn marks on mid chest, none on the back. The prominent burn mark was approx. 4 cm long. With several smaller marks scattered where the edge of the pad had been. Silvadene applied to area per physician order. Fda safety report # (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5093119
MDR Report Key9733423
Date Received2020-02-19
Date of Report2020-02-14
Date of Event2020-02-13
Date Added to Maude2020-02-20
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMEDI-TRACE CADENCE
Generic NamePACEMARKER, CARDIAC, EXTERNAL TRANSCUTANEOUS (NON- INVASIVE)
Product CodeDRO
Date Received2020-02-19
Catalog Number(17)211211
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerCOVIDIEN/CARDINAL HEALTH 200, LLC


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-02-19

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