MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2002-03-25 for NOT KNOWN * manufactured by *.
[230164]
Add'l info rec'd from rptr 5/9/02: rptr has verfified by the dr two huge holes seen from each ear canal into skull; there is a metalic device up there burning skull, eyes, ears and nose. Rptr is having terrible pain. Rptr has identified several marble sized round balls in throat back and various parts of body. Most of this was put in at hosp by dr illegally. Rptr was unconcious 9 to 11 days chained to a table.
Patient Sequence No: 1, Text Type: D, B5
[22188494]
Both ears were drilled out to skull and illegal wires and some type of electricity device installed up toward rptr's skull and some type of open and shut off clamp around stomach lining during 11 day illegal surgery in hosp. Inflatable hernia stomach mesh 2 yrs later in another hosp. Stomach lining power pack is hitting rptr in the heart, lungs and different areas. Rptr has written the federal court house. According to rptr people are some quacks and using rptr for some type of medical experiment.
Patient Sequence No: 1, Text Type: D, B5
Report Number | MW1024485 |
MDR Report Key | 384871 |
Date Received | 2002-03-25 |
Date of Event | 1992-02-01 |
Date Added to Maude | 2002-03-29 |
Event Key | 0 |
Report Source Code | Voluntary 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 | PATIENT |
Health Professional | 3 |
Initial Report to FDA | 0 |
Report to FDA | 0 |
Event Location | 3 |
Single Use | 0 |
Previous Use Code | 0 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | NOT KNOWN |
Generic Name | ILLEGAL WIRES-INFLATABLE MESH |
Product Code | GZA |
Date Received | 2002-03-25 |
Model Number | * |
Catalog Number | * |
Lot Number | * |
ID Number | * |
Device Availability | * |
Implant Flag | Y |
Date Removed | * |
Device Sequence No | 1 |
Device Event Key | 373920 |
Manufacturer | * |
Manufacturer Address | * * * |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Life Threatening; 2. Other; 3. Deathisabilit | 2002-03-25 |