EARLY RESPONSE SYSTEM 680

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-11-06 for EARLY RESPONSE SYSTEM 680 manufactured by Jeron.

Event Text Entries

[19402471] The call light over head page did not operate to notify staff of code blue. The software had been tested 30 days prior. It was noted after the code by the nursing supervisor and other staff that they didn to hear an overhead page of the code blue. The rn supervisor nearby entered the room when she saw the outside siren light flashing. After the event, the supervisor was asked by the aoc to test several rooms to see if the pager system was working and it was not.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5039060
MDR Report Key4253548
Date Received2014-11-06
Date of Report2014-11-06
Date of Event2014-10-27
Date Added to Maude2014-11-18
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameEARLY RESPONSE SYSTEM
Generic NameEARLY RESPONSE SYSTEM
Product CodeILQ
Date Received2014-11-06
Model Number680
Catalog Number680
OperatorHEALTH PROFESSIONAL
Device Sequence No1
Device Event Key0
ManufacturerJERON
Manufacturer AddressCHICAGO IL 60660 US 60660


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2014-11-06

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