BEUDAMED
    FDA Adverse Event Death Summary report: N

    PHILIPS LIFELINE

    MDR report key: 7731039 · Received July 27, 2018

    Report

    Report Number
    MW5078663
    Event Type
    Death
    Date Received
    July 27, 2018
    Date of Event
    June 28, 2018
    Report Date
    July 7, 2018
    Manufacturer
    PHILIPS / LIFELINE SYSTEMS, INC.
    Product Code
    ILQ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    I FOUND MY MOM ON HER BEDROOM FLOOR, BARELY CONSCIOUS WITH HER PHILLIPS LIFE ALERT PORTABLE AROUND THE NECK BUTTON BY HER SIDE. LATER THAT EVENING, I WENT TO HER HOME AND PUSHED HER BUTTON TO GET NO ANSWER FROM THE LIFE ALERT STAFF. I THEN PUSHED THE MAIN BOX/. ALTHOUGH IT IS CLEAR, WHEN THE NECK BUTTON WAS PUSHED, NO SIGNAL WENT TO PHILLIPS. BUT, BECAUSE I WAS NOT PHYSICALLY THERE, I CANNOT KNOW FOR SURE THAT SHE PUSHED IT. ALL SIGNS SHOW THAT SHE MAY HAVE TRIED, BUT I WAS NOT THERE. THE BUTTON WAS WITH HER WHEN I FOUND HER. THE MAIN UNIT ON HER NIGHT STAND DID WORK, WHICH I TRIED LATER THAT NIGHT AFTER I REALIZED THE NECK BUTTON DID NOT WORK. THAT'S WHEN THE REP TOLD ME THE NECK BUTTON WAS NOT ACTIVATED. ASSY: 1840549, MFG DATE: 02/28/2012, REV: 02, FCC ID: BDZ6200, IC:655C-6700, IC:655C-6700, R DATE: 03/03/2015, L6900AT, BARCODE: (B)(4). NECK BUTTON WAS NOT ACTIVATED THEREFORE NO CALL WAS PLACED TO PHILLIPS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    568376 PHILIPS LIFELINE SYSTEM, COMMUNICATION, POWERED ILQ PHILIPS / LIFELINE SYSTEMS, INC. 6900AT

    Patients

    Seq Age Sex Outcome Treatment
    1 86 YR Death| H| L| S