BEUDAMED
    FDA Adverse Event Death Summary report: N

    D-TRON

    MDR report key: 445242 · Received February 26, 2003

    Report

    Report Number
    MW1027661
    Event Type
    Death
    Date Received
    February 26, 2003
    Date of Event
    December 6, 2002
    Report Date
    February 26, 2003
    Manufacturer
    DISETRONIC MED SYSTEMS INC
    Product Code
    LZG
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    PT WAS FOUND DEAD IN A PASTURE IN THEIR PICK-UP TRUCK. CALLER STATES AT THIS TIME CAUSE OF DEATH IS UNKNOWN. CALLER STATES THAT PT HAS BEEN USING PUMP SINCE 2002.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 D-TRON INSULIN PUMP LZG DISETRONIC MED SYSTEMS INC * *

    Patients

    Seq Age Sex Outcome Treatment
    1 52 YR Death