FDA Adverse Event
Death
Summary report: N
VM8
MDR report key: 1667313
·
Received April 21, 2010
Report
- Report Number
- 1218950-2010-00545
- Event Type
- Death
- Date Received
- April 21, 2010
- Date of Event
- March 25, 2010
- Report Date
- April 20, 2010
- Manufacturer
- PHILIPS MEDICAL SYSTEMS
- Product Code
- MHX
- PMA / PMN Number
- K052707
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IN
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE CUSTOMER REPORTED THAT AN SPO2 VALUE OF 68% WAS DISPLAYED ON THE MONITOR FIFTEEN MINUTES AFTER A PT DEATH. THE AVAILABLE INFORMATION DOES NOT SUPPORT THAT THERE WAS ANY MALFUNCTION OR HEALTH RISK. THERE IS NO ALLEGATION THAT THE DEVICE CAUSED OR CONTRIBUTED THE PT DEATH. PHILIPS IS IN THE PROCESS OF OBTAINING ADDITIONAL INFORMATION CONCERNING THIS EVENT AND THE COMPLAINT IS STILL UNDER INVESTIGATION. A FINAL REPORT WILL BE SUBMITTED ONCE THE INVESTIGATION IS COMPLETED. (B) (4).
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT AN SPO2 VALUE OF 68% WAS DISPLAYED ON THE MONITOR FIFTEEN MINUTES AFTER A PT DEATH.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | VM8 | MHX | PHILIPS MEDICAL SYSTEMS | 863068 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 67 YR | Death |