BEUDAMED
    FDA Adverse Event Death Summary report: N

    ATTAIN OTW

    MDR report key: 1013452 · Received March 10, 2008

    Report

    Report Number
    2649622-2008-00898
    Event Type
    Death
    Date Received
    March 10, 2008
    Date of Event
    March 19, 2007
    Manufacturer
    MEDTRONIC PUERTO RICO, INC.
    Product Code
    LWP
    Removal / Correction Number
    NI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ATTAIN OTW IMPLANTABLE PACING LEAD LWP MEDTRONIC PUERTO RICO, INC. 4193 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 82 YR Death