FDA Adverse Event Death Summary report: N

LIFELINE PERSONAL RESPONSE SYSTEM

MDR report key: 1085738 · Received July 31, 2008

Report

Report Number
1220762-2008-00002
Event Type
Death
Date Received
July 31, 2008
Date of Event
July 11, 2007
Report Date
July 2, 2008
Product Code
ILQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

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 ADD'L INFO IS OBTAINED, A SUPPLEMENTAL REPORT WILL BE SENT.

Description of Event or Problem · 1

LEGAL FILING ALLEGED THAT A SUBSCRIBER REPORTEDLY, FELL IN HER WHEELCHAIR. LAWSUIT ALLEGES THAT THE NECK CORD CAUGHT ON SOMETHING, RESULTING IN SUBSCRIBER DEATH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LIFELINE PERSONAL RESPONSE SYSTEM SYSTEM, COMMUNICATION, POWERED ILQ 6600

Patients

Seq Age Sex Outcome Treatment
1 78 YR Death