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.
[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
Report Number | 3020533-2019-00002 |
MDR Report Key | 8437620 |
Report Source | OTHER |
Date Received | 2019-03-20 |
Date of Report | 2019-03-20 |
Date of Event | 2001-01-01 |
Date Mfgr Received | 2019-01-04 |
Date Added to Maude | 2019-03-20 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Contact | MRS. ROBIN NICOL |
Manufacturer Street | 19799 SW 95TH AVENUE SUITE B |
Manufacturer City | TUALATIN OR 97062 |
Manufacturer Country | US |
Manufacturer Postal | 97062 |
Manufacturer Phone | 5036126780 |
Manufacturer G1 | MECTA CORPORATION |
Manufacturer Street | 19799 SW 95TH AVENUE SUITE B |
Manufacturer City | TUALATIN OR 97062 |
Manufacturer Country | US |
Manufacturer Postal Code | 97062 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Generic Name | ECTDEVICE |
Product Code | GXC |
Date Received | 2019-03-20 |
Operator | HEALTH PROFESSIONAL |
Device Availability | * |
Device Eval'ed by Mfgr | * |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | MECTA CORPORATION |
Manufacturer Address | 19799 SW 95TH AVE. SUITE B TUALATIN OR 97062 US 97062 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Other | 2019-03-20 |