FDA Adverse Event Death Summary report: N

S/5 MONITOR

MDR report key: 836544 · Received April 10, 2007

Report

Report Number
9610105-2007-00007
Event Type
Death
Date Received
April 10, 2007
Date of Event
February 24, 2007
Report Date
April 10, 2007
Manufacturer
GE HEALTHCARE FINLAND OY
Product Code
BSZ
PMA / PMN Number
k051400
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Description of Event or Problem · 1

PATIENT DEATH WAS REPORTED AND UNIT REPORTEDLY DID NOT ALARM. THE CUSTOMER HAS REFUSED TO PROVIDE THE DEVICE FOR EVALUATION. THE CUSTOMER IS REPORTEDLY HAVING THE DEVICE EVALUATED BY AN INDEPENDENT EXPERT IN AGREEMENT WITH ANOTHER COUNTRY. GE HEALTHCARE'S INVESTIGATION INTO THE REPORTED OCCURRENCE IS TILL ONGOING. A FOLLOW-UP REPORT WILL BE ISSUED WHEN INVESTIGATION HAS BEEN COMPLETED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 S/5 MONITOR ANESTHESIA MONITOR BSZ GE HEALTHCARE FINLAND OY F-CUB *

Patients

Seq Age Sex Outcome Treatment
1 YR Death