BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PORTABLE PATIENT MONITOR

    MDR report key: 349517 · Received August 29, 2001

    Report

    Report Number
    349517
    Event Type
    Injury
    Date Received
    August 29, 2001
    Date of Event
    June 22, 2001
    Report Date
    June 22, 2001
    Manufacturer
    AGILENT TECHNOLOGIES INC
    Product Code
    MHX
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE RN FOUND THE PT TO BE GRAY AND UNRESPONSIVE. THE TRACHEA TUBE WAS NOTED TO BE PARTIALLY DISLODGED. ASYSTOLE/CPR INITIATED. THE MONITOR DID NOT ALARM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    39321 PORTABLE PATIENT MONITOR TRANSPORT MONITOR MHX AGILENT TECHNOLOGIES INC M1275A NA

    Patients

    Seq Age Sex Outcome Treatment
    1 7 MO Life Threatening