ECTDEVICE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a other report with the FDA on 2019-03-20 for ECTDEVICE manufactured by Mecta Corporation.

Event Text Entries

[139367202] No further information available. Attempted to contact patient several times by several methods with no success.
Patient Sequence No: 1, Text Type: N, H10


[139367203] Patient received (their statement) involuntary ect treatments (2 over a period of 3 days) in 2001. Claims "the minute i got home ect did not work and petrified of my blank mind. " was unable to work and began receiveing social security disability insurance. Other problems followed. Basically, life was ruined. See medwatch report mw5082259 for more details.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3020533-2019-00002
MDR Report Key8437620
Report SourceOTHER
Date Received2019-03-20
Date of Report2019-03-20
Date of Event2001-01-01
Date Mfgr Received2019-01-04
Date Added to Maude2019-03-20
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMRS. ROBIN NICOL
Manufacturer Street19799 SW 95TH AVENUE SUITE B
Manufacturer CityTUALATIN OR 97062
Manufacturer CountryUS
Manufacturer Postal97062
Manufacturer Phone5036126780
Manufacturer G1MECTA CORPORATION
Manufacturer Street19799 SW 95TH AVENUE SUITE B
Manufacturer CityTUALATIN OR 97062
Manufacturer CountryUS
Manufacturer Postal Code97062
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Generic NameECTDEVICE
Product CodeGXC
Date Received2019-03-20
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMECTA CORPORATION
Manufacturer Address19799 SW 95TH AVE. SUITE B TUALATIN OR 97062 US 97062


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-03-20

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