BEUDAMED
    FDA Adverse Event Other Summary report: N

    ACUITY CENTRTAL STATION MONITORING SYSTEM

    MDR report key: 582373 · Received March 4, 2005

    Report

    Report Number
    3023750-2005-00003
    Event Type
    Other
    Date Received
    March 4, 2005
    Date of Event
    February 19, 2005
    Report Date
    February 22, 2005
    Manufacturer
    WELCH ALLYN PROTOCOL, INC.
    Product Code
    DRT
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    REPORT STATED THAT PATIENT "WENT INTO ARREST" AND THAT THE ALARM DID NOT ACTIVATE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ACUITY CENTRTAL STATION MONITORING SYSTEM CENTRAL STATION MONITOR FOR PHYSIOLOGICAL MONITORING DRT WELCH ALLYN PROTOCOL, INC. S/W VER.6.30.00 *

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Hospitalization