FDA Adverse Event
Death
Summary report: N
SIEMENS
MDR report key: 189777
·
Received September 29, 1998
Report
- Report Number
- MW1014655
- Event Type
- Death
- Date Received
- September 29, 1998
- Date of Event
- August 27, 1998
- Report Date
- September 10, 1998
- Manufacturer
- SIEMENS MEDICAL SYSTEMS, INC. ELECTRO MEDICAL DIVISON
- Product Code
- DRT
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- PA, US
- Reporter Occupation
- INVALID DATA
Narratives
Description of Event or Problem · 1
PT HAD CARDIAC ARREST. THE CARDIAC MONITOR ALARMS WERE NOT ACTIVATED. PT WAS ON A TELEMETRY PACK.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SIEMENS | CARDIAC MONITOR | DRT | SIEMENS MEDICAL SYSTEMS, INC. ELECTRO MEDICAL DIVISON | CPD - 155F1 | * | |
| 2 | UNK | TELEMETRY TRANSMITTER PACK | DRG | SIEMENS MEDICAL SYSTEMS, INC. ELECTROMEDICAL DIVISION | 3371098 E510U | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 66 YR | Death |