BEUDAMED
    FDA Adverse Event Injury Summary report: N

    AGILENT INFORMATION CENTER

    MDR report key: 323390 · Received March 30, 2001

    Report

    Report Number
    1218950-2001-00115
    Event Type
    Injury
    Date Received
    March 30, 2001
    Date of Event
    February 2, 2001
    Report Date
    March 2, 2001
    Manufacturer
    AGILENT TECHNOLOGIES, INC.
    Product Code
    DRT
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE SYSTEM FAILED TO REPORT V-TACH FOR PT IN SINUS WITH LEFT BUNDLE BRANCH BLOCK. THERE WERE SEVERAL YELLOW PVC ALARMS BUT NO RED V-TACH ALARM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    14362 AGILENT INFORMATION CENTER CENTRAL STATION MONITOR DRT AGILENT TECHNOLOGIES, INC. M3150A NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Life Threatening