FDA Adverse Event Death Summary report: N

INTELLIVUE, MP70

MDR report key: 2102998 · Received May 16, 2011

Report

Report Number
2102998
Event Type
Death
Date Received
May 16, 2011
Date of Event
March 12, 2009
Report Date
March 29, 2009
Manufacturer
PHILLIPS MEDICAL SYSTEMS
Product Code
MHX
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
MO, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

THE PATIENT WAS FOUND EXPIRED WITH LEADS SECURED TO THE PATIENT BUT NO AUDIBLE OR VISUAL ALARMS WERE ACTIVATED. THE NURSE CHECKED FOR LEAD PLACEMENT AND WAS CERTAIN THE LEADS WERE SECURELY ATTACHED BUT THAT THE ALARMS DID NOT SOUND UNTIL SHE TAPPED ON THE HEART MONITOR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INTELLIVUE, MP70 MONITOR, PHYSIOLOGICAL MHX PHILLIPS MEDICAL SYSTEMS MP70 *

Patients

Seq Age Sex Outcome Treatment
1 54 YR Death NO OTHER THERAPIES