FDA Adverse Event Injury Summary report: N

SYNCHROMED

MDR report key: 1002288 · Received February 22, 2008

Report

Report Number
2182207-2008-00883
Event Type
Injury
Date Received
February 22, 2008
Report Date
January 11, 2008
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
LKK
PMA / PMN Number
P860004
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT THE HCP HAD A PT WITH AN INFECTED PUMP. NO OTHER INFO WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHROMED LKK MEDTRONIC NEUROMODULATION PUMP NA

Patients

Seq Age Sex Outcome Treatment
1 YR IMPLANTED| EXPLANTED| CATHETER MODEL CATHETER LOT# UNK| IMPLANTED| PROGRAMMER MODEL PROGRAMMER LOT# UNK| EXPLANTED