BEUDAMED
    FDA Adverse Event Death Summary report: N

    *

    MDR report key: 545515 · Received November 21, 2003

    Report

    Report Number
    545515
    Event Type
    Death
    Date Received
    November 21, 2003
    Date of Event
    November 17, 2003
    Report Date
    November 20, 2003
    Manufacturer
    SPACELABS (MEDICAL) DAYTEX OHMEDA
    Product Code
    MHX
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    WI, US
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * MONITOR, PORTABLE PHYSIOLOGICAL MHX SPACELABS (MEDICAL) DAYTEX OHMEDA 90369 *

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Death