MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1999-02-23 for ENDURA GLIDER UNK 260911 manufactured by Unk.
[132315]
A 43-year-old male patient attempted suicide by hanging self on bathroom doorknob on psych unit, using a black strap. The strap appears to be identical to the straps which are tied to the endura glider transport boards in the radiologhy dept. The patient had been to radiology for x-rays on the morning of the suicide attempt. When the patient was found, there was a pulse but no respirations. Cardiopulmonary resuscitation started, and patient began spontaneous respirations. Patient was admitted to cardiac care unit, and on a ventilator until 2/19/99 when he was removed from ventilatory and breating on his own.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 211615 |
MDR Report Key | 211615 |
Date Received | 1999-02-23 |
Date of Report | 1999-02-22 |
Date of Event | 1999-02-15 |
Date Facility Aware | 1999-02-15 |
Report Date | 1999-02-22 |
Date Reported to FDA | 1999-02-22 |
Date Reported to Mfgr | 1999-02-22 |
Date Added to Maude | 1999-03-02 |
Event Key | 0 |
Report Source Code | User Facility report |
Manufacturer Link | N |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 0 |
Reporter Occupation | RISK MANAGER |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Single Use | 0 |
Previous Use Code | 0 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | ENDURA GLIDER |
Generic Name | TRANSPORT BOARD |
Product Code | KNL |
Date Received | 1999-02-23 |
Model Number | UNK |
Catalog Number | 260911 |
Lot Number | NA |
ID Number | NA |
Operator | NOT APPLICABLE |
Device Availability | Y |
Device Age | * |
Implant Flag | N |
Date Removed | A |
Device Sequence No | 1 |
Device Event Key | 205364 |
Manufacturer | UNK |
Manufacturer Address | UNK UNK * |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Hospitalization; 2. Life Threatening | 1999-02-23 |