BEUDAMED
    FDA Adverse Event Death Summary report: N

    CONMED SRS SERIES ECG PATIENT MONITOR CABLE

    MDR report key: 435990 · Received January 2, 2003

    Report

    Report Number
    1317214-2002-00066
    Event Type
    Death
    Date Received
    January 2, 2003
    Date of Event
    August 6, 2002
    Report Date
    December 20, 2002
    Manufacturer
    CONMED CORP.
    Product Code
    DSA
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT, "THE PT SUFFERED A FULL ARREST AND THE MONTIOR DID NOT ALERT NURSING STAFF, DUE TO DAMAGE TO THE ECG MONITOR CABLE."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CONMED SRS SERIES ECG PATIENT MONITOR CABLE ECG PATIENT MONITOR CABLE DSA CONMED CORP. NA R0613

    Patients

    Seq Age Sex Outcome Treatment
    1 HORIZON XL MONITOR, MODEL 277, (2002 TO 2002).