FDA Adverse Event Injury Summary report: N

SOMATICS, LLC

MDR report key: 10466651 · Received August 28, 2020

Report

Report Number
1420295-2020-00010
Event Type
Injury
Date Received
August 28, 2020
Report Date
August 28, 2020
Manufacturer
SOMATICS, LLC
Product Code
GXC
PMA / PMN Number
945120
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

ORIGINAL REPORT FROM SOMATICS, 140295-2020-00010 WAS SENT IN AUGUST 2020. THOROUGH INVESTIGATION OF THE COMPLAINANT (B)(6) MEDICAL RECORDS WAS UNDERTAKEN BY AN IMPARTIAL EXAMINER WHO IS A BOARD-CERTIFIED PSYCHIATRIST AND NEUROLOGIST. THIS EXAMINER FOUND NO EVIDENCE IN THE MEDICAL RECORDS TO SUPPORT COMPLAINANT'S CLAIMS OF MEMORY IMPAIRMENT, COGNITIVE IMPAIRMENT OR 'BRAIN DAMAGE" RESULTING FROM ECT TREATMENT WITH THE THYMATRON ECT INSTRUMENT. THIS CONCLUDES SOMATICS' MEDWATCH REPORT ABOUT COMPLAINTS STATED BY (B)(6).

Description of Event or Problem · 0

MR. (B)(6) CLAIMS MULTIPLE INJURIES INCLUDING BRAIN DAMAGE, COGNITIVE IMPAIRMENTS AND OTHER ISSUES.

Description of Event or Problem · 1

MR. THELEN CLAIMS MULTIPLE INJURIES INCLUDING BRAIN DAMAGE, COGNITIVE IMPAIRMENTS AND OTHER ISSUES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
933368 SOMATICS, LLC ELECTROCONVULSIVE THERAPY INSTRUMENT GXC SOMATICS, LLC N/A

Patients

Seq Age Sex Outcome Treatment
1 Male Other