FDA Adverse Event
Injury
Summary report: N
TENDRIL ST
MDR report key: 1010931
·
Received March 10, 2008
Report
- Report Number
- 2017865-2008-00882
- Event Type
- Injury
- Date Received
- March 10, 2008
- Date of Event
- January 11, 2008
- Manufacturer
- ST JUDE MEDICAL AB
- Product Code
- DTB
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NJ, US
- Reporter Occupation
- PHYSICIAN
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TENDRIL ST | PERMANENT PACEMAKER ELECTRODE | DTB | ST JUDE MEDICAL AB | 1788T/58 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * | Required Intervention |