FDA Adverse Event Death Summary report: N

SPACELABS ELANCE VITAL SIGNS MONITOR

MDR report key: 3931242 · Received June 20, 2014

Report

Report Number
3010157426-2013-00014
Event Type
Death
Date Received
June 20, 2014
Date of Event
November 11, 2013
Report Date
January 21, 2014
Manufacturer
SPACELABS HEALTHCARE INC.
Product Code
MHX
PMA / PMN Number
K093501
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IN
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER LEFT THE NIBP CUFF ON THE PT AND LEFT THE NIBP PRODUCT ON AUTO MEASUREMENT AFTER THE PT DIED. NIBP READINGS WILL RESULT FROM MUSCLE CONTRACTION OCCURRING AFTER A DEATH. SPACELABS FIELD SERVICE ENGINEER (FSE) TESTED THE DEVICE IN THE FIELD IN ACCORDANCE WITH THE TEST PROCEDURES IN THE SERVICE MANUAL. THE DEVICE PASSED ALL TESTS AND NO PROBLEM WAS FOUND. THE CUSTOMER HAS BEEN NOTIFIED AND ACCEPTED THE CLINICAL EXPLANTATION THAT THE NIBP READING SHOWN ON THE DEAD PT WAS DUE TO MUSCLE CONTRACTION AFTER THE PT DIED. THE CUSTOMER IS CONTINUING TO USE THE DEVICE TO MONITOR PATIENTS AND NO FURTHER ISSUES WERE RECEIVED. IT IS SPACELABS' POLICY TO SUBMIT AN MDR WHEN WE BECOME AWARE OF DEATH OF ANY PT CONNECTED TO OUR DEVICES. WE HAVE CONCLUDED THAT HE DEVICE DID NOT MALFUNCTION. THE DEVICE DID NOT CONTRIBUTE TO PT'S DEATH. THIS REPORT IS FINAL AND SPACELABS CONSIDERS THIS ISSUE IS CLOSED.

Description of Event or Problem · 1

SPACELABS RECEIVED A REPORT THAT AN ELANCE MONITOR MODEL 93300 SHOWED NIBP READINGS ON A DEAD PT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
364339 SPACELABS ELANCE VITAL SIGNS MONITOR MHX: MULTIPARAMETER PT MONITOR MHX SPACELABS HEALTHCARE INC. 93300

Patients

Seq Age Sex Outcome Treatment
1 Death