FDA Adverse Event
Death
Summary report: N
SONICAID
MDR report key: 2444284
·
Received February 8, 2012
Report
- Report Number
- 1000589001-2012-00001
- Event Type
- Death
- Date Received
- February 8, 2012
- Date of Event
- December 28, 2011
- Report Date
- January 6, 2012
- Manufacturer
- HUNTLEIGH HEALTHCARE LTD. DIAGNOSTICS
- Product Code
- HGM
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
THIS REPORT IS BEING FILED UNDER EXEMPTION (B)(4) ON BEHALF OF THE MANUFACTURER HUNTLEIGH HEALTHCARE LTD. (REGISTRATION#1000589001). THE UNIT IS BEING RETURNED FROM (B)(6) HOSPITAL TO THE SERVICE DEPARTMENT AT (B)(6) FOR INVESTIGATION. ADDITIONAL INFORMATION WILL BE PROVIDED FOLLOWING THE CONCLUSION OF THE MANUFACTURER'S INVESTIGATION.
Description of Event or Problem · 1
A COMMUNICATION WAS RECEIVED FROM THE ADVERSE INCIDENT CENTRE OF THE (B)(6), STATING THAT AN INCIDENT HAD BEEN REPORTED BY (B)(6) HOSPITAL WITH REGARD TO AN FM830 FETAL MONITOR. THE REPORTED FAULT WITH THE MONITOR WAS "CTG DISPLAYING TRACE WITH FETAL HEART RATE OF 150BPM, BUT BABY WAS DEAD."
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SONICAID | FM800 RANGE OF FETAL MONITOR | HGM | HUNTLEIGH HEALTHCARE LTD. DIAGNOSTICS | FM830 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Death |