BEUDAMED
    FDA Adverse Event Death Summary report: N

    NELLCOR

    MDR report key: 4133393 · Received August 26, 2014

    Report

    Report Number
    4133393
    Event Type
    Death
    Date Received
    August 26, 2014
    Date of Event
    August 18, 2014
    Report Date
    August 26, 2014
    Manufacturer
    COVIDIEN
    Product Code
    DQA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    PATIENT COLLAPSED AND FOUND ON THE FLOOR FACE DOWN. OXYMIZER WAS FOUND LYING BESIDE THE PATIENT GROIN AREA ON THE FLOOR. PULSE OX ALARM WAS NOT ALARMING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    518552 NELLCOR PULSE OXIMETER DQA COVIDIEN N560

    Patients

    Seq Age Sex Outcome Treatment
    1 64 YR Death