FDA Adverse Event Death Summary report: N

CCM ARRHYTHMIA DETECTION OPTION

MDR report key: 385235 · Received March 28, 2002

Report

Report Number
1218950-2002-00050
Event Type
Death
Date Received
March 28, 2002
Date of Event
February 28, 2002
Report Date
March 1, 2002
Manufacturer
AGILENT TECHNOLOGIES, INC.
Product Code
DRT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE SYSTEM RECORDED A "LEADS OFF" ALARM WHILE THE PATIENT WAS BEING MONITORED. ACCORDING TO A CLINICIAN, THE USER HAD ACKNOWLEDGED THIS CONDITION. THE PATIENT WAS FOUND DEAD ON THE FLOOR WITH ECG ELECTRODES STILL ATTACHED TO THE SKIN. HOWEVER, THE ECG CABLE WAS DISCONNECTED FROM THE ELECTRODES BUT STILL CONNECTED TO THE BEDSIDE MONITOR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CCM ARRHYTHMIA DETECTION OPTION CCM ARRHYTHMIA DETECTION DRT AGILENT TECHNOLOGIES, INC. M2350A NA

Patients

Seq Age Sex Outcome Treatment
1 78 YR Death