BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ACUITY CENTRAL STATION

    MDR report key: 398563 · Received June 6, 2002

    Report

    Report Number
    3023750-2002-00003
    Event Type
    Injury
    Date Received
    June 6, 2002
    Report Date
    May 6, 2002
    Manufacturer
    WELCH ALLYN PROTOCOL, INC.
    Product Code
    DRT
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CUSTOMER STATED THAT A PATIENT REQUIRED RESUSCITATION DURING AN INTERRUPTION OF MONITORING WITH A TELEMETRY DEVICE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ACUITY CENTRAL STATION CARDIAC MONITOR DRT WELCH ALLYN PROTOCOL, INC. ACUITY STATION NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Life Threatening| O VHF TRANSMITTER P/N 100-0076-00.