BEUDAMED
    FDA Adverse Event Death Summary report: N

    CDT LAN

    MDR report key: 521023 · Received April 14, 2004

    Report

    Report Number
    2124823-2004-00030
    Event Type
    Death
    Date Received
    April 14, 2004
    Date of Event
    March 5, 2004
    Report Date
    April 14, 2004
    Manufacturer
    GE MEDICAL SYSTEMS INFORMATION TECHNOLOGIES
    Product Code
    DRG
    Removal / Correction Number
    NA
    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 SYSTEM DID NOT ALARM AND A PT EXPIRED IN 2004.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CDT LAN ECG TELEMETRY SYSTEM DRG GE MEDICAL SYSTEMS INFORMATION TECHNOLOGIES NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 81 YR Death