FDA Adverse Event
Death
Summary report: N
SERIES 50 XM FETAL/MATERNAL MONITOR
MDR report key: 343385
·
Received July 24, 2001
Report
- Report Number
- 9610816-2001-00161
- Event Type
- Death
- Date Received
- July 24, 2001
- Date of Event
- March 20, 2001
- Report Date
- March 21, 2001
- Manufacturer
- AGILENT TECHNOLOGIES DEUTSCHLAND GMBH
- Product Code
- HGM
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED TO AGILENT TECHNOLOGIES THAT A PARENT WAS CONNECTED TO THE FETAL MONITOR AND THERE WAS A NORMAL HEALTHY REACTIVE HEART RATE TRACING ON THE CHARTING SYSTEM. AFTER 20 MINUTES MONITORING STOPPED, AND AFTER 12 HOURS THE FETUS WAS DELIVERED STILL BORN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 33301 | SERIES 50 XM FETAL/MATERNAL MONITOR | PERINATAL MONITORING SYSTEM | HGM | AGILENT TECHNOLOGIES DEUTSCHLAND GMBH | M1350B | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * | Death |