BEUDAMED
    FDA Adverse Event Death Summary report: N

    LIFELINE PERSONAL RESPONSE SYSTEM

    MDR report key: 1580447 · Received January 15, 2010

    Report

    Report Number
    1220762-2010-00001
    Event Type
    Death
    Date Received
    January 15, 2010
    Date of Event
    December 10, 2009
    Report Date
    December 21, 2009
    Product Code
    ILQ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    WE ARE GREATLY SADDENED FOR THE FAMILY OF THE DECEDENT. WE HAVE NO REASON TO BELIEVE THAT FURTHER INFO ON THIS INCIDENT WILL BE OBTAINED.

    Description of Event or Problem · 1

    A PHONE CALL WAS RECEIVED IN 2009 WHERE THE SON OF THE DECEDENT STATED, HIS FATHER HAD USED THE NECK CORD OF THE PERSONAL HELP BUTTON TO END HIS LIFE. THE FATHER HAD BATTLED WITH CANCER FOR MANY YEARS. THE PHB WAS NOT DEPRESSED DURING THE EVENT AND NO SIGNAL WAS RECEIVED BY THE CALL CENTER.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Death