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 |