FDA Adverse Event Death Summary report: N

COROMETRICS 259

MDR report key: 854338 · Received May 23, 2007

Report

Report Number
2124823-2007-00049
Event Type
Death
Date Received
May 23, 2007
Date of Event
March 8, 2007
Report Date
May 23, 2007
Manufacturer
GE HEALTHCARE
Product Code
KXN
PMA / PMN Number
K050583
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IA, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

ACCORDING TO USER FILED MEDWATCH REPORT, BIOMED WAS CHECKING THE FETAL ECG CABLE THAT WAS USED ON A LABORING PT AND NOTED IT WAS NOT OPERATIONAL. INFANT WAS REPORTEDLY BORN WITH BRADYCARDIA AND ANOXIA AND SUBSEQUENTLY DIED. GE HEALTHCARE'S INVESTIGATION INTO THE REPORTED OCCURRENCE IS STILL ONGOING. A FOLLOW-UP REPORT WILL BE ISSUED WHEN THE INVESTIGATION HAS BEEN COMPLETED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 COROMETRICS 259 MATERNAL/FETAL MONITOR KXN GE HEALTHCARE COROMETRICS 259 *

Patients

Seq Age Sex Outcome Treatment
1 24 YR Death