BEUDAMED
    FDA Adverse Event Death Summary report: N

    PHILIPS INFORMATION CENTER

    MDR report key: 514868 · Received March 9, 2004

    Report

    Report Number
    1218950-2004-00060
    Event Type
    Death
    Date Received
    March 9, 2004
    Date of Event
    February 23, 2004
    Report Date
    February 23, 2004
    Manufacturer
    AGILENT TECHNOLOGIES, INC.
    Product Code
    DRT
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE CENTRAL STATION MONITOR DID NOT ALARM OR RECORD FOR A VENTRICULAR TACHYCARDIA OCCURRENCE.

    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 80 YR Death