FDA Adverse Event Death Summary report: N

NBP MODULE

MDR report key: 379074 · Received February 28, 2002

Report

Report Number
9610816-2002-00014
Event Type
Death
Date Received
February 28, 2002
Date of Event
January 14, 2002
Report Date
January 15, 2002
Manufacturer
AGILENT TECHNOLOGIES DEUTSCHLAND GMBH
Product Code
DPS
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT UPON PT ADMISSION, THE NIBP WOULD NOT WORK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NBP MODULE NBP MODULE DPS AGILENT TECHNOLOGIES DEUTSCHLAND GMBH M1008B NA

Patients

Seq Age Sex Outcome Treatment
1 6 YR Death