BEUDAMED
    FDA Adverse Event Death Summary report: N

    AGILENT INFORMATION CENTER

    MDR report key: 385204 · Received March 29, 2002

    Report

    Report Number
    1218950-2002-00051
    Event Type
    Death
    Date Received
    March 29, 2002
    Date of Event
    February 15, 2002
    Report Date
    February 25, 2002
    Manufacturer
    AGILENT TECHNOLOGIES, INC.
    Product Code
    DRT
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FR
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT DURING THE AFTERNOON OF FEBRUARY 2002 A PATIENT WAS BEING EXTERNALLY PACED WITH GOOD QRS CAPTURE. THE CHIEF NURSE CONFIRMED THAT THE CENTRAL STATION RECOGNIZED THIS PATIENT'S PACER BEATS APPROPRIATELY AND GENERATED ALARMS. DURING THE NIGHT THE PATIENT DIED FROM 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 UNKNOWN Death