FDA Adverse Event Injury Summary report: N

ECT

MDR report key: 1574859 · Received January 6, 2010

Report

Report Number
MW5014255
Event Type
Injury
Date Received
January 6, 2010
Date of Event
January 10, 2000
Report Date
January 6, 2010
Product Code
GXC
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
IL, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

ADVERSE EVENT ASSOCIATED WITH THE USE OF AN ECT DEVICE THAT HAS CAUSED EXTENSIVE PROBLEMS AND ON GOING MEMORY LOSS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ECT GXC

Patients

Seq Age Sex Outcome Treatment
1 45 YR