BEUDAMED
    FDA Adverse Event Death Summary report: N

    PHILIPS CENTRAL MONITORING SYSTEM

    MDR report key: 517882 · Received March 17, 2004

    Report

    Report Number
    MW1031504
    Event Type
    Death
    Date Received
    March 17, 2004
    Date of Event
    October 11, 2003
    Report Date
    March 17, 2004
    Manufacturer
    PHILIPS MEDICAL SYSTEMS, INC.
    Product Code
    DRG
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THE TELEMETRY CENTRAL STATION MONITOR ALARMED AND THE LCD DISPLAYED REPLACE TRANSMITTER BATTERY PROMPTLY. THE PT CARE ASSISTANT ASSIGNED TO OBSERVE THE MONITOR CHANGED THE BATTERY IN THE TRANSMITTER 3 TIMES, HOWEVER THE CHANGE BATTERY DISPLAY PERSISTED. THE PT WAS NOTED TO BE UNRESPONSIVE AND A CODE WAS INITIATED. THEY DID NOT RESPOND TO TREATMENT AND WERE PRONOUNCED AT 11:45 PM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PHILIPS CENTRAL MONITORING SYSTEM MONITOR'S TELEMETRY TRANSMITTERS DRG PHILIPS MEDICAL SYSTEMS, INC. M3105A N/A

    Patients

    Seq Age Sex Outcome Treatment
    1 83 YR Death