BEUDAMED
    FDA Adverse Event Injury Summary report: N

    *

    MDR report key: 1001935 · Received February 7, 2008

    Report

    Report Number
    2182208-2008-00036
    Event Type
    Injury
    Date Received
    February 7, 2008
    Date of Event
    December 11, 2007
    Manufacturer
    MEDTRONIC, INC.
    Product Code
    LWS
    Removal / Correction Number
    NI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AU
    Reporter Occupation
    UNKNOWN

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * IMPLANTABLE TACHY LEAD LWS MEDTRONIC, INC. 6996 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 6 YR Required Intervention 7288 IMPLANTABLE PACEMAKER/CARDIO/DEFIB