FDA Adverse Event Death Summary report: N

SPACELABS MEDICAL INC.

MDR report key: 602621 · Received May 12, 2005

Report

Report Number
602621
Event Type
Death
Date Received
May 12, 2005
Date of Event
April 26, 2005
Report Date
May 11, 2005
Manufacturer
SPACELABS MEDICAL INC.
Product Code
DRT
Product Problem
Yes
Report Source
User Facility report
Reporter Location
VA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

A PT WITH PERMANENT PACEMAKER BEING MONITORED ON CARDIAC STEPDOWN UNITS. SINCE ADMISSION IN 2005, CARDIAC TRACINGS INDICATE APPROPRIATE CAPTURE OF PACEMAKER WHEN RATE INDICATES. THE 5TH DAY AT APPROXIMATELY 6:30 PM, PT FOUND UNRESPONSIVE BY FAMILY. PT WAS CODED FOR 19 MINUTES AND PRONOUNCED DEAD. NO AUDIBLE ALARMS NOTED AT CENTRAL MONITORING STATION. STRIPS PULLED FROM EVENT LOG NOTE PACER SPIKE WITH NO COMPLEX FOLLOWED BY CARDIAC STANDSTILL. THIS WAS INTERPRETED MY MONITOR AS "PAUSE". PAUSE IS NOT DEFINED AS AN ALARMABLE EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SPACELABS MEDICAL INC. CENTRAL STATION MONITOR DRT SPACELABS MEDICAL INC. 90385 *

Patients

Seq Age Sex Outcome Treatment
1 84 YR Death