inforMED
DeathGYE

PHILLIPS MEDICAL

Received May 17, 2004 · Event occurred Apr 30, 2004

Report 525741 · MDR key 525741

Device

Generic name

Telemetry System

Model number

M2601A

Catalog number

*

Lot number

*

Product problems

  • No Audible Alarm
  • Normal

Patient

78 YR

  • Asystole
  • Death

Narrative

Description of Event or Problem

A PT WAS NOTED BY CARDIAC MONITOR TO BE ASYSTOLE. NO AUDIBLE ALARM HAD SOUNDED. A CODE WAS INITIATED, BUT THE PT EXPIRED. INVESTIGATION REVEALED THE ALARMS HAD BEEN SILENCED. THE MONITOR HAS SOFTWARE THAT ALLOWS ALL ALARMS TO BE SILENCED. THERE WAS NO MALFUNCTION.