FDA Adverse Event Death Summary report: N

ESCORT II

MDR report key: 433891 · Received December 18, 2002

Report

Report Number
2022870-2002-00005
Event Type
Death
Date Received
December 18, 2002
Date of Event
November 15, 2002
Report Date
November 18, 2002
Manufacturer
MEDICAL DATA ELECTRONICS
Product Code
DRT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

NURSE ENTERED PT ROOM AND FOUND PT WITH NO RESPIRATION. ATTEMPT TO RESUSCITATE BETWEEN 12:07 AND 12:20 FAILED. AT THE TIME OF THIS EVENT THIS HOSP OBSERVED NO ALARM FROM THIS UNIT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ESCORT II PATIENT MONITOR DRT MEDICAL DATA ELECTRONICS 20100 NA

Patients

Seq Age Sex Outcome Treatment
1 31 YR Death