FDA Adverse Event Death Summary report: N

KENDALL SEQUENTIA COMPRESSION SYSTEM

MDR report key: 620317 · Received July 11, 2005

Report

Report Number
1310379-2005-00008
Event Type
Death
Date Received
July 11, 2005
Date of Event
June 14, 2005
Report Date
July 11, 2005
Manufacturer
TYCO HEALTHCARE/KENDALL
Product Code
JOW
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

A CUSTOMER HAD A PROBLEM WITH SEQUENTIAL COMPRESSION SLEEVES. ACCORDING TO THE CUSTOMER, "9 DAYS AFTER A SURGERY, A PT DIED (PULMONARY EMBOLISM AS RELATED BY THE HOSPITAL). THE PROPHYLAXIS USED WAS: SCD AND HEPARIN (LMWH)"

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KENDALL SEQUENTIA COMPRESSION SYSTEM SEQUENTIAL COMPRESSION CONTROLLER JOW TYCO HEALTHCARE/KENDALL NA UNK

Patients

Seq Age Sex Outcome Treatment
1 70 YR Death