FDA Adverse Event
Death
Summary report: N
MONITOR DOCKING STATION
MDR report key: 2460559
·
Received February 10, 2012
Report
- Report Number
- MW5024247
- Event Type
- Death
- Date Received
- February 10, 2012
- Date of Event
- January 31, 2012
- Report Date
- January 31, 2012
- Manufacturer
- DRAEGER MEDICAL INC
- Product Code
- MHX
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- PA, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
RN OBSERVED PT O2 SATS IN THE LOW 60'S AND CALLED A CODE. UPON OBSERVING ALL THE ALARM MONITORS, ALL THE ALARMS WERE OFF EXCEPT HEART RATE. HIT THE BUTTON TO RESET THE ALARMS TO THE ICU STANDARDS AND THE ALARMS REMAINED OFF. REPORTED TO RN SUPERVISOR AND ICU SUPERVISOR/MGR MANUALLY TURNED ALARMS ON. PT WAS IN PEA WITH HEART RATE IN 60'S TO 70'S SO THE HEART RATE ALARM DID NOT ALARM. THERE WAS NO VISUAL DISPLAY THAT ALARMS WERE "OFF."
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MONITOR DOCKING STATION | MHX | DRAEGER MEDICAL INC | 12095054 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 92 YR | Death |