FDA Adverse Event
Death
Summary report: N
GE APEX PRO TELEMETRY MONITOR
MDR report key: 8209461
·
Received December 29, 2018
Report
- Report Number
- 8209461
- Event Type
- Death
- Date Received
- December 29, 2018
- Date of Event
- November 25, 2018
- Report Date
- December 27, 2018
- Manufacturer
- GE MEDICAL SYSTEMS
- Product Code
- MHX
- Adverse Event
- Yes
- Report Source
- User Facility report
- Reporter Location
- PA, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
THE PT WAS ON TELEMETRY BEING MONITORED THROUGHOUT THE DAY AND AT 18:50, THE NURSE IDENTIFIED THAT THERE WAS NO RHYTHM DISPLAYED ON THE MONITOR. SHE ENTERED THE PT'S ROOM AND FOUND THE PT PULSELESS AND APNEIC. ATTEMPTS TO RESUSCITATE THE PT WERE UNSUCCESSFUL. THE LAST TRANSMISSION FROM THE MONITOR HAD COME AT 17:43 SAYING LF: NO TELEM. IT WAS IDENTIFIED THAT THE BATTERIES HAD RUN OUT, HOWEVER, THE "CHANGE BATTERY" ALARM DID NOT FIRE AT THE CENTRAL MONITORING STATION. SUBSEQUENT TESTING OF THE DEVICE WITH REPLACEMENT BATTERIES FOUND IT TO BE FUNCTIONING APPROPRIATELY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1044383 | GE APEX PRO TELEMETRY MONITOR | TELE PACK | MHX | GE MEDICAL SYSTEMS | 2001989-134 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 64 YR | Death |