BEUDAMED
    FDA Adverse Event Death Summary report: N

    PHILIPS INFORMATION CENTER

    MDR report key: 505293 · Received January 9, 2004

    Report

    Report Number
    1218950-2004-00014
    Event Type
    Death
    Date Received
    January 9, 2004
    Date of Event
    April 9, 2001
    Report Date
    December 11, 2003
    Manufacturer
    AGILENT TECHNOLOGIES, INC.
    Product Code
    DRT
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THE CUSTOMER REQUESTED CLARIFICATION REGARDING AN ISSUE WITH A STRIP. THEY WANTED TO KNOW IF IT SHOULD HAVE TRIGGERED AN ALARM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PHILIPS INFORMATION CENTER CENTRAL STATION MONITOR DRT AGILENT TECHNOLOGIES, INC. M3150A NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Death