BEUDAMED
    FDA Adverse Event Death Summary report: N

    RESTRAINT VEST

    MDR report key: 20177 · Received March 9, 1995

    Report

    Report Number
    MW1005366
    Event Type
    Death
    Date Received
    March 9, 1995
    Report Date
    March 8, 1995
    Manufacturer
    HEELBO, INC.
    Product Code
    FMQ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    THE PT, WHO HAD A DIAGNOSIS OF HUNTINGTON'S CHOREA, SLIPPED DOWN IN BED AND HANGED HIMSELF WITH THE RESTRAINT STRAPS OF THE VEST.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RESTRAINT VEST FMQ HEELBO, INC. UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR Death