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