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