BEUDAMED
    FDA Adverse Event Death Summary report: N

    AGILENT INFORMATION CENTER

    MDR report key: 379807 · Received February 27, 2002

    Report

    Report Number
    1218950-2002-00019
    Event Type
    Death
    Date Received
    February 27, 2002
    Date of Event
    January 20, 2002
    Report Date
    January 29, 2002
    Manufacturer
    AGILENT TECHNOLOGIES, INC.
    Product Code
    DRT
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE AGILENT INFORMATION SYSTEM FAILED TO ALARM WHEN THE PATIENT WENT INTO ASYSTOLE.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 82 YR Death