FDA Adverse Event Death Summary report: N

MP 70 INTELLIVUE PATIENT MONITOR

MDR report key: 1120543 · Received August 11, 2008

Report

Report Number
9610816-2008-00022
Event Type
Death
Date Received
August 11, 2008
Date of Event
July 10, 2008
Report Date
July 14, 2008
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
MHX
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PHILIPS IS IN THE PROCESS OF OBTAINING MORE INFO CONCERNING THIS EVENT AND THIS COMPLAINT IS STILL UNDER INVESTIGATION. A SUPPLEMENTAL REPORT WILL BE SENT ONCE THE INVESTIGATION IS COMPLETED.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT A PT WITH AN IMPLANTED PACER, EXPIRED. HOWEVER, THE MONITOR STILL SHOWED A HEART RATE OF 60 AND DID NOT ALARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MP 70 INTELLIVUE PATIENT MONITOR PATIENT MONITOR WITH PORTAL TECHNOLOGY MHX PHILIPS MEDICAL SYSTEMS M8007A

Patients

Seq Age Sex Outcome Treatment
1 80 YR Death