BEUDAMED
    FDA Adverse Event Death Summary report: N

    BCI PULSE PATIENT CABLE

    MDR report key: 431911 · Received December 4, 2002

    Report

    Report Number
    431911
    Event Type
    Death
    Date Received
    December 4, 2002
    Date of Event
    September 20, 2002
    Report Date
    November 20, 2002
    Manufacturer
    SIMS BCI, INC
    Product Code
    DSA
    Report Source
    User Facility report
    Reporter Location
    KY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    WHEN A PERSON WENT INTO REPOSITION PT THEY FOUND PT WAS UNRESPONSIVE. THERE WAS NO INDICATOR LIGHT AT THE NURSES STATION, BUT ALARM WAS SOUNDING IN THE ROOM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BCI PULSE PATIENT CABLE MONITORING EXTENSION CABLE DSA SIMS BCI, INC 3311 *

    Patients

    Seq Age Sex Outcome Treatment
    1 64 YR Death