BEUDAMED
    FDA Adverse Event Death Summary report: N

    LIFELINE

    MDR report key: 1501461 · Received October 6, 2009

    Report

    Report Number
    MW5012966
    Event Type
    Death
    Date Received
    October 6, 2009
    Date of Event
    March 26, 2006
    Report Date
    October 6, 2009
    Manufacturer
    LIFELINE SYSTEMS COMPANY
    Product Code
    ILQ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    DECEDENT ACCIDENTALLY HANGED BY CORD OF LIFELINE PERSONAL HELP BUTTON PENDANT. DECEDENT FOUND DEAD IN HER BATHROOM FROM HANGING BY LIFELINE CORD GETTING CAUGHT ON VANITY DOOR HANDLE FOLLOWING AN APPARENT FALL. DATES OF USE: 2005 - 2006. DIAGNOSIS: SAFETY NET.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIFELINE PERSONAL HELP BUTTON ILQ LIFELINE SYSTEMS COMPANY

    Patients

    Seq Age Sex Outcome Treatment
    1 79 YR Death