BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ST JUDE MEDICAL

    MDR report key: 1031069 · Received April 9, 2008

    Report

    Report Number
    1031069
    Event Type
    Injury
    Date Received
    April 9, 2008
    Date of Event
    March 26, 2008
    Report Date
    March 28, 2008
    Manufacturer
    ST. JUDE MEDICAL, CARDIAC RHYTHM MANAGEMENT DIV.
    Product Code
    LWS
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MD, US
    Reporter Occupation
    NURSE

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ST JUDE MEDICAL RIATA ST LEAD LWS ST. JUDE MEDICAL, CARDIAC RHYTHM MANAGEMENT DIV. 7002/60 *

    Patients

    Seq Age Sex Outcome Treatment
    1 79 YR Hospitalization| L| R