BEUDAMED
    FDA Adverse Event Death Summary report: N

    6.2/5.0 MHZ OMNI TEE TRANSDUCER

    MDR report key: 536890 · Received July 28, 2004

    Report

    Report Number
    3003723454-2004-00007
    Event Type
    Death
    Date Received
    July 28, 2004
    Report Date
    July 21, 2004
    Manufacturer
    PHILIPS ULTRASOUND
    Product Code
    ITX
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    DEATH, ATTRIBUTED TO MDRP (MULTI DRUG RESISTANT PSEUDOMONAS AERUGINOSA), WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 6.2/5.0 MHZ OMNI TEE TRANSDUCER 21369A ITX PHILIPS ULTRASOUND 21369A NA

    Patients

    Seq Age Sex Outcome Treatment
    1 40 YR Death