FDA Adverse Event Death Summary report: N

ESCORT

MDR report key: 397958 · Received June 3, 2002

Report

Report Number
2022870-2002-00001
Event Type
Death
Date Received
June 3, 2002
Report Date
May 29, 2002
Manufacturer
MEDICAL DATA ELECTRONICS
Product Code
DRT
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

A PT MONITOR BLANKED (DURING DEFIB) WHILE A PT WAS CODING. THE UNIT RECOVERED WITHIN 8 SECONDS. NURSE MANAGER STATED THAT THE MDE EQUIPMENT HAD NOTHING TO DO WITH THE PT'S DEATH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ESCORT PATIENT MONITOR DRT MEDICAL DATA ELECTRONICS 20300 NA

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Death