BEUDAMED
    FDA Adverse Event Death Summary report: N

    VIRIDIA 24/26 COMPONENT MONITORING SYSTEM

    MDR report key: 370064 · Received January 4, 2002

    Report

    Report Number
    1218950-2002-00001
    Event Type
    Death
    Date Received
    January 4, 2002
    Date of Event
    December 5, 2001
    Report Date
    December 7, 2001
    Manufacturer
    AGILENT TECHNOLOGIES, INC.
    Product Code
    DRT
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE ALARM DID NOT ANNUNCIATE DURING ALARM CONDITION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VIRIDIA 24/26 COMPONENT MONITORING SYSTEM BEDSIDE MONITOR DRT AGILENT TECHNOLOGIES, INC. M1205A NA

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR Death