FDA Adverse Event
Death
Summary report: N
ACUITY CENTRAL STATION
MDR report key: 507819
·
Received January 22, 2004
Report
- Report Number
- 3023750-2004-00001
- Event Type
- Death
- Date Received
- January 22, 2004
- Date of Event
- December 17, 2003
- Report Date
- December 31, 2003
- Manufacturer
- WELCH ALLYN PROTOCOL, INC.
- Product Code
- DRT
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- DE, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
PT STARTED HAVING MULTIPLE ARRHYTHMIA EVENTS THAT WENT UN-NOTICED BY THE STAFF ON SITE. THE STAFF WAS INTERESTED IN NOTING WHAT ALARMS WERE GOING OFF.
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 |