BEUDAMED
    FDA Adverse Event Death Summary report: N

    ACUITY CENTRAL STATION

    MDR report key: 478334 · Received August 15, 2003

    Report

    Report Number
    3023750-2003-00004
    Event Type
    Death
    Date Received
    August 15, 2003
    Date of Event
    June 30, 2003
    Report Date
    July 15, 2003
    Manufacturer
    WELCH ALLYN PROTOCOL, INC.
    Product Code
    DRT
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    CUSTOMER REPORTED AN EVENT IN 7/2003 TO THE MANUFACTURER WHERE THEY QUESTIONED THE PERFORMANCE OF THE CENTRAL MONITORING SYSTEM.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Death