BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SWEET PICOTIP RX

    MDR report key: 1041112 · Received May 8, 2008

    Report

    Report Number
    2124215-2008-35008
    Event Type
    Injury
    Date Received
    May 8, 2008
    Date of Event
    April 7, 2005
    Report Date
    April 13, 2005
    Manufacturer
    CARDIAC PACEMAKERS, INC
    Product Code
    DTB
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OK, US
    Reporter Occupation
    PHYSICIAN

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SWEET PICOTIP RX IMPLANTABLE LEAD DTB CARDIAC PACEMAKERS, INC 4054 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 79 YR