FDA Adverse Event Other Summary report: N

DATEX-OHMEDA ESTPR MODULE

MDR report key: 211300 · Received February 17, 1999

Report

Report Number
9610105-1999-00001
Event Type
Other
Date Received
February 17, 1999
Report Date
February 17, 1999
Manufacturer
DATEX-OHMEDA DIVISION, INSTRUMENTARIUM CORP.
Product Code
BZQ
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

TELETRONICS META III MINUTE VENTILATION RATE ADAPTIVE CARDIAC PACEMAKER ERRONEOUSLY INTERPRETED AS/3 PATIENT MONITOR'S RESPIRATION RATE MEASUREMENT (BIOELECTRIC IMPEDANCE MEASUREMENT) RESULTING RISE IN THE PACING RATE OF THE PACEMAKER AND SUBSEQUENTLY DECREASE IN BLOOD PRESSURE OF THE PATIENT. THE PATIENT RECOVERED SPONTANEOUSLY AFTER DISCONNECTION FROM THE MONITOR. NO NEGATIVE OUTCOME ON THE PATIENT WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DATEX-OHMEDA ESTPR MODULE MULTIPARAMETER PATIENT MONITOR BZQ DATEX-OHMEDA DIVISION, INSTRUMENTARIUM CORP. M-ESTPR NA

Patients

Seq Age Sex Outcome Treatment
1 63 YR Other UNK).| TELETRONICS META III CARDIAC PACEMAKER (UNK TO