BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ELECTROSHOCK

    MDR report key: 36137 · Received August 27, 1996

    Report

    Report Number
    MW1009818
    Event Type
    Injury
    Date Received
    August 27, 1996
    Date of Event
    January 1, 1963
    Report Date
    August 27, 1996
    Manufacturer
    UNK
    Product Code
    GXC
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PT RECEIVED THREE ELECTROSHOCK TREATMENTS AT THE STATE HOSP IN 1963. AFTERWARDS WAS COMPLETELY DISORIENTED FOR A PERIOD OF SEVERAL MONTHS. WAS FORCED TO EDUCATE SELF ALL OVER AGAIN. HAD TO LEARN TO MULTIPLY NUMBERS, TO ADD, TO USE AN ADULT VOCABULARY AGAIN. HAD TO LEARN AGAIN HOW TO DRIVE A CAR. SUFFERS TO THIS DAY FROM PERMANENT, IRREVOCABLE MEMORY LOSS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ELECTROSHOCK ELECTRICAL CONVULSIVE THERAPY UNIT GXC UNK * *

    Patients

    Seq Age Sex Outcome Treatment
    1 34 YR Disability