FDA Adverse Event Death Summary report: N

LIFELINE PERSONAL RESPONSE SYSTEM

MDR report key: 1078240 · Received July 18, 2008

Report

Report Number
1220762-2008-00001
Event Type
Death
Date Received
July 18, 2008
Date of Event
March 26, 2006
Report Date
June 20, 2008
Product Code
ILQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE SUBSCRIBER DID NOT PRESS THEIR PERSONAL HELP BUTTON DURING THE FALL. IT DOES NOT APPEAR FROM AVAILABLE INFO, THERE WAS ANY MALFUNCTION OF THE DEVICE. THIS APPEARS TO BE A VERY UNFORTUNATE ACCIDENT. IN THE EVENT THAT PHILIPS OBTAINS ADD'L INFO, A SUPPLEMENTAL REPORT WILL BE SENT.

Description of Event or Problem · 1

LEGAL FILING ALLEGED THAT A SUBSCRIBER REPORTEDLY FELL WITHOUT DEPRESSING THEIR PERSONAL HELP BUTTON. LAWSUIT ALLEGES THE NECK CORD TO THE PERSONAL HELP BUTTON BECAME CAUGHT ON A PROTRUDING VANITY CABINET, RESULTING IN SUBSCRIBER DEATH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LIFELINE PERSONAL RESPONSE SYSTEM SYSTEM, COMMUNICATION, POWERED ILQ 6700

Patients

Seq Age Sex Outcome Treatment
1 79 YR Death TAMOXIFIN| XALATAN| CELBREX| SMZ-TMP-DS| FLUNISOLIDE| NIFEDIPINE| LEVOTHYROXINE| ENALAPRIL| GLIPIZIDE/XL| ATENOLOL