BEUDAMED
    FDA Adverse Event Injury Summary report: N

    AGILENT TECHNOLOGIES/HEWLETT PACKARD

    MDR report key: 258077 · Received January 4, 2000

    Report

    Report Number
    258077
    Event Type
    Injury
    Date Received
    January 4, 2000
    Date of Event
    December 19, 1999
    Report Date
    December 28, 1999
    Manufacturer
    HEWLETT PACKARD
    Product Code
    DRT
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT ON HP TELEMETRY MONITOR. WENT INTO VENTRICULAR FIBRILLATION AT 10:37 PM. NO MONITOR ALARM. EQUIPMENT CHECKED AT THE TIME BY BIOMED AND CO UNABLE TO DUPLICATE PROBLEM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AGILENT TECHNOLOGIES/HEWLETT PACKARD TELEMETRY MONITORS DRT HEWLETT PACKARD M3105A *

    Patients

    Seq Age Sex Outcome Treatment
    1 46 YR Life Threatening