DEVICE, UNKNOWN

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2011-04-25 for DEVICE, UNKNOWN manufactured by .

Event Text Entries

[1854718] My mother did in fact have other illnesses at the time of this incident, but she also had this device put in and at the time, she was doing very well, her breathing was in fact getting better and her illnesses were stable. But her breathing got seriously worse about two days after this device was put in. Then about a week after the device was in, she got put in icu and then two to three days later, she passed away. I totally believe that this device did in fact cause her death and i do intend on pursuing a lawsuit now that i know that this device has had other problems and is now being recalled.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5020401
MDR Report Key2072694
Date Received2011-04-25
Date of Report2011-02-25
Date of Event2010-10-10
Date Added to Maude2011-05-04
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPATIENT FAMILY MEMBER OR FRIEND
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Generic NameDEVICE, UNKNOWN
Product CodeLDQ
Date Received2011-04-25
Device AvailabilityN
Device Sequence No1
Device Event Key0


Patients

Patient NumberTreatmentOutcomeDate
101. Death; 2. Deathisabilit 2011-04-25

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.