BEUDAMED
    FDA Adverse Event Death Summary report: N

    SEAT BELT

    MDR report key: 19082 · Received January 23, 1995

    Report

    Report Number
    MW1004834
    Event Type
    Death
    Date Received
    January 23, 1995
    Date of Event
    December 12, 1994
    Report Date
    January 20, 1995
    Manufacturer
    SKIL-CARE CORP.
    Product Code
    KNN
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE RPTR RECENTLY RECEIVED THE CORONER'S REPORT ON AN INCIDENT THAT OCCURRED ON 12/12/94. DEATH OF THE PT WAS DUE TO MECHANICAL ASPHYXIA CAUSED BY THE WHEELCHAIR SEAT BELT. A MANDATORY REPORT WILL ALSO BE SUBMITTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SEAT BELT KNN SKIL-CARE CORP.

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR Death