BEUDAMED
    FDA Adverse Event Death Summary report: N

    HEWLETT PACKARD

    MDR report key: 349924 · Received August 31, 2001

    Report

    Report Number
    349924
    Event Type
    Death
    Date Received
    August 31, 2001
    Date of Event
    June 14, 2001
    Report Date
    August 31, 2001
    Manufacturer
    AGILENT TECHNOLOGIES
    Product Code
    DRT
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    RN NOTICED THE TRACH TUBE WAS PARTIALLY DISLODGED. THE PT WAS GRAY AND UNRESPONSIVE TO STIMULI. THE TRACH TUBE WAS FOUND TO BE IN THE TRACHEOSTOMY STOMA. THE MONITOR DID NOT ALARM. THE PT EXPIRED FROM HYPOXIC ISCHEMIC ENCEPHALOPATHY. ON THE DAY OF THE EVENT THE MONITOR WAS TAKEN OUT OF SERVICE AND SENT TO THE BIOMEDICAL ENGINEERING DEPT TO BE EVALUATED. THE MONITOR WAS FOUND TO BE IN PROPER WORKING CONDITION, BUT IT HAD THE ABILITY FOR ITS ALARMS TO BE IN INFINITE SUSPEND MODE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    39819 HEWLETT PACKARD MONITOR DRT AGILENT TECHNOLOGIES M1275A *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Death