BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TELEMETRY MONITORING SYSTEM

    MDR report key: 51507 · Received November 18, 1996

    Report

    Report Number
    MW4001713
    Event Type
    Injury
    Date Received
    November 18, 1996
    Date of Event
    December 29, 1995
    Report Date
    January 31, 1996
    Manufacturer
    SIEMENS MEDICAL SYSTEMS, INC. ELECTROMEDICAL GRP
    Product Code
    DRG
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    A VISITOR TO THE TELEMETRY UNIT WAS STANDING UNDER THE ANTENNAE OR THE TELEMETRY CENTRAL STATION WITH A CELLULAR PHONE IN THE "ON" POSITION BUT NOT MODULATING. DISTORTION WAS NOTED ON FOUR (4) FREQUENCIES ON THE CARDIAC MONITORING SYSTEM. WHEN THE SOURCE OF THE INTERFERENCE WAS DISCOVERED, THE CELLULAR PHONE WAS TURNED OFF AND THE DISTORTION CEASED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TELEMETRY MONITORING SYSTEM TELEMETRY MONITORING SYSTEM DRG SIEMENS MEDICAL SYSTEMS, INC. ELECTROMEDICAL GRP 4561 *

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other| R