HEWLETT PACKARD 43100A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2008-01-15 for HEWLETT PACKARD 43100A manufactured by Hewlett Packard (now Own By Philips Medical System Inc).

Event Text Entries

[790955] Pt coded. Upon initiation of cardiopulmonary resuscitative efforts, the defibrillator would not function. Another defibrillator had to be retrieved. Upon evaluation by biomedical services it was found that the plug and receptacle for the ecg leads had at some time (whether during this code or at some time in the past cannot be determined) been physically damaged, rendering the defibrillator nonfunctioning. It is not thought that the delay affected the eventual outcome. However, it is agreed that such a delay holds the potential for changing an outcome in a future occurrence.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number982820
MDR Report Key982820
Date Received2008-01-15
Date of Event2008-01-03
Date Facility Aware2008-01-03
Report Date2008-01-14
Date Reported to FDA2008-01-14
Date Reported to Mfgr2008-01-14
Date Added to Maude2008-01-28
Event Key0
Report Source CodeUser Facility 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 Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameHEWLETT PACKARD
Generic NameDEFIBRILLATOR
Product CodeDRK
Date Received2008-01-15
Model Number43100A
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key952121
ManufacturerHEWLETT PACKARD (NOW OWN BY PHILIPS MEDICAL SYSTEM INC)


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2008-01-15

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