BEUDAMED
    FDA Adverse Event Death Summary report: N

    VIRIDIA INFORMATION CENTER

    MDR report key: 374401 · Received January 28, 2002

    Report

    Report Number
    1218950-2002-00013
    Event Type
    Death
    Date Received
    January 28, 2002
    Date of Event
    September 8, 2001
    Report Date
    October 13, 2001
    Manufacturer
    AGILENT TECHNOLOGIES, INC.
    Product Code
    DRT
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    THE HOSPITAL BIOMEDICAL ENGINEER STATED THAT THE INFORMATION CENTER GENERATED A 3-STAR ALARM (V-TACH PROGRESSED TO V-FIB) AND CONTINUED TO RING FOR APPROXIMATELY 10 MINUTES WITH NO RESPONSE FROM STAFF.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Death