FDA Adverse Event Death Summary report: N

HEALTH WATCH PERSONAL RESPONSE SYSTEM

MDR report key: 1230583 · Received November 4, 2008

Report

Report Number
1054748-2008-00001
Event Type
Death
Date Received
November 4, 2008
Date of Event
October 6, 2006
Report Date
November 4, 2008
Product Code
IQA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE SUBSCRIBER DID NOT PRESS HER PERSONAL HELP BUTTON DURING THE FALL. AVAILABLE INFORMATION INDICATES THERE WAS NO MALFUNCTION OF THE DEVICE. THIS APPEARS TO BE A VERY UNFORTUNATE ACCIDENT. THIS MANUFACTURER IS NO LONGER MANUFACTURING AND DISTRIBUTING PRODUCT.

Description of Event or Problem · 1

A LETTER FROM THE DEVICE USER'S/WEARER'S LAWYER STATED THE USER FELL IN HER WHEELCHAIR WITHOUT DEPRESSING HER PERSONAL HELP BUTTON. THE LETTER ALLEGES THE NECK CORD TO THE PERSONAL HELP BUTTON BECAME CAUGHT ON THE WHEELCHAIR, RESULTING IN THE WEARER'S DEATH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HEALTH WATCH PERSONAL RESPONSE SYSTEM SYSTEM, COMMUNICATION, POWERED IQA HW6000

Patients

Seq Age Sex Outcome Treatment
1 83 YR Death