FDA Adverse Event Death Summary report: N

MERITS VISION SPORT POWER WHEELCHAIR

MDR report key: 17412667 · Received July 28, 2023

Report

Report Number
9680333-2023-00002
Event Type
Death
Date Received
July 28, 2023
Date of Event
April 8, 2023
Report Date
May 2, 2023
Manufacturer
MERITS HEALTH PRODUCTS CO. LTD.,
Product Code
ITI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THE MENTIONED PRODUCT IN REPORT #: (B)(4), THE PLEURX BOTTLE & PLEURX DRAINAGE SYSTEM, IS MADE BY MERIT MEDICAL SYSTEMS (FDA REGISTRATION #: 3010665433), NOT BY MERITS HEALTH PRODUCTS INC. (FDA REGISTRATION #: 1058069). THE REPORTER HAS LINKED THE MENTIONED PRODUCT TO THE WRONG MANUFACTURER. THEREFORE, MERITS HEALTH PRODUCTS INC. WILL NOT TAKE ANY FURTHER ACTION OR FOLLOW-UP REGARDING THIS MATTER.

Description of Event or Problem · 0

IT WAS REPORTED: CUSTOMER RECEIVED KIT WITH DEFECTIVE ISSUE; NO PT HARM. EVENT DESCRIPTION STATES: DEFECTIVE. (B)(6) 2023 CALLED CUSTOMER TO FOLLOW UP ON REPORTED ISSUE. SPOKE WITH HUSBAND WHO ADVISED OF THE FOLLOWING DETAILS BELOW. HE EXPLAINED THAT CUSTOMER PASSED SOMETIME BETWEEN THE NIGHT BEFORE EASTER AND EASTER DAY. CUSTOMER DID NOT HAVE ANY ISSUES WITH PLEURX BOTTLE, OCCASIONALLY HAD ISSUES ONLY WITH THE ADHESIVE BEING SCRUNCHED UP TOGETHER BUT THEY WERE ABLE TO FLATTEN THEM OUT AND USE THEM WITHOUT ANY ISSUES. HUSBAND IS MILITARY AND PART OF SPECIAL OPERATIONS AND HAS EXTENSIVE MEDICAL TRAINING. HUSBAND ADVISED THE PLEURX DRAINAGE SYSTEM WAS EASY TO USE AND THE PATIENT DIED FROM STAGE 4 CANCER, THE DEATH WAS IN NO WAY CAUSED BY THE PLEURX PRODUCT. THERE WAS NO PT IMPACT AND NOTHING TO RETURN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1919878 MERITS VISION SPORT POWER WHEELCHAIR WHEELCHAIR, POWERED ITI MERITS HEALTH PRODUCTS CO. LTD., P326A

Patients

Seq Age Sex Outcome Treatment
1 Unknown