FDA Adverse Event Injury Summary report: N

TENDRIL ST

MDR report key: 1011071 · Received March 10, 2008

Report

Report Number
2017865-2008-00751
Event Type
Injury
Date Received
March 10, 2008
Date of Event
December 18, 2007
Manufacturer
ST JUDE MEDICAL AB
Product Code
DTB
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WV, 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 1788TC/58 NA

Patients

Seq Age Sex Outcome Treatment
1 * Required Intervention