BEUDAMED
    FDA Adverse Event Death Summary report: N

    PHILIPS MEDICAL SYSTEMS

    MDR report key: 828176 · Received February 28, 2007

    Report

    Report Number
    828176
    Event Type
    Death
    Date Received
    February 28, 2007
    Date of Event
    February 27, 2007
    Report Date
    February 27, 2007
    Manufacturer
    PHILLIPS MEDICAL SYSTEMS
    Product Code
    DRT
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    UPON INITIAL ASSESSMENT OF PT AT SHIFT CHANGE, PT WAS FOUND NOT BREATHING, NO PULSE. O2 MASK AND MONITOR LEADS WERE OFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PHILIPS MEDICAL SYSTEMS PT MONITOR, ECG DRT PHILLIPS MEDICAL SYSTEMS MERLIN NA

    Patients

    Seq Age Sex Outcome Treatment
    1 78 YR Death