Model Number HDF3500 |
Device Problem
Use of Device Problem (1670)
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Patient Problems
Arrhythmia (1721); No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 03/02/2022 |
Event Type
Death
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Manufacturer Narrative
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Heartsine has requested the return of the device for investigation.Upon completion, the conclusions will be submitted in a follow-up report.Heartsine contacted the customer to request additional information on the patient.No response has been received from the customer.The hdf 3500 device is not available for distribution in the united states but is similar to the sam 350p and 450p which is distributed in the united states.
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Event Description
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The distributor contacted heartsine to report that voice prompts stopped during a patient involved event.However, a clinical review of the device download was completed for the reported event and determined that the event occurred due to a user pad placement issue.This event was patient involved and a patient death was reported.However, based on the clinical evaluation there is no indication of a device malfunction that has contributed to the patient outcome.
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Manufacturer Narrative
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Heartsine evaluated the customer's device but was unable to duplicate the reported issue.There was no fault found on the hdf-3500 or returned pad-pak.During the investigation, all audio prompts were delivered clearly and audibly with no omissions.There was no visible damage or abnormalities with the speaker or speaker cable, and there was no measurable fault on the speaker coil.The device delivered the full shock therapy sequence without fault, and accurately measured impedance throughout the specified range, even under the stress of elevated temperature.No continuity issue was identified on the electrode/patient output cables and no fault found on the pogo pins.The investigation can only suggest that the pads had been placed incorrectly or the pad-pak incorrectly seated, resulting in no impedance detection.The device was scrapped by heartsine and the customer was provided with a replacement device.
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Event Description
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The distributor contacted heartsine to report that voice prompts stopped during a patient involved event.However, a clinical review of the device download was completed for the reported event and determined that the event occurred due to a user pad placement issue.This event was patient involved and a patient death was reported.However, based on the clinical evaluation there is no indication of a device malfunction that has contributed to the patient outcome.
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Search Alerts/Recalls
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