BEUDAMED
    FDA Adverse Event Other Summary report: N

    MULTIVIEW WORKSTATION

    MDR report key: 698608 · Received July 8, 2005

    Report

    Report Number
    1220063-2005-00014
    Event Type
    Other
    Date Received
    July 8, 2005
    Date of Event
    June 4, 2005
    Report Date
    June 5, 2005
    Manufacturer
    DRAEGER MEDICAL SYSTEMS, INC.
    Product Code
    DSI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    THE USER REPORTED THAT ONE PT TELEMTRY MONITORING CHANNEL IN THE MULTIVIEW WORKSTATION CENTRAL MONITOR WENT INTO STANDBY MODE BY ITSELF. DURING THIS TIME, THE PT WAS REPORTED TO HAVE HAD A VENTRICULAR FIBRILLATION EVENT. LATER, THE USERS ATTEMPTED TO RETRIEVE THE INFORMATION FROM THE SYSTEM EVENT AND FULL DISCLOSER DATABASE AND REPORTED THAT THE INFORMATION DISPLAYED SHOWED A STRAIGHT LINE. NO PT INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MULTIVIEW WORKSTATION CENTRAL PATIENT MONITOR W/TELEMETRY OPT. DSI DRAEGER MEDICAL SYSTEMS, INC. 5199133EE56U NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO