BEUDAMED
    FDA Adverse Event Death Summary report: N

    MEDISTRAINTS SAFETY VEST, SIZE LARGE

    MDR report key: 18545 · Received December 27, 1994

    Report

    Report Number
    MW1004573
    Event Type
    Death
    Date Received
    December 27, 1994
    Date of Event
    March 5, 1994
    Report Date
    December 12, 1994
    Manufacturer
    MEDLINE INDUSTRIES, INC.
    Product Code
    FMQ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    TRAUMATIC ASPHYXIA FROM SAFETY VEST. (*)

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDISTRAINTS SAFETY VEST, SIZE LARGE SAFETY VEST FMQ MEDLINE INDUSTRIES, INC. MDT828134 UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Death MARCH 4 AND 5, 1994