NOT KNOWN *

MAUDE Adverse Event Report

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 *.

Event Text Entries

[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


MAUDE Entry Details

Report NumberMW1024485
MDR Report Key384871
Date Received2002-03-25
Date of Event1992-02-01
Date Added to Maude2002-03-29
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
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameNOT KNOWN
Generic NameILLEGAL WIRES-INFLATABLE MESH
Product CodeGZA
Date Received2002-03-25
Model Number*
Catalog Number*
Lot Number*
ID Number*
Device Availability*
Implant FlagY
Date Removed*
Device Sequence No1
Device Event Key373920
Manufacturer*
Manufacturer Address* * *


Patients

Patient NumberTreatmentOutcomeDate
101. Life Threatening; 2. Other; 3. Deathisabilit 2002-03-25

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