BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MERIDIAN DR

    MDR report key: 1041695 · Received May 8, 2008

    Report

    Report Number
    2124215-2008-34938
    Event Type
    Injury
    Date Received
    May 8, 2008
    Date of Event
    March 29, 2008
    Report Date
    March 29, 2008
    Manufacturer
    CARDIAC PACEMAKERS, INC
    Product Code
    DXY
    Removal / Correction Number
    Z1032-39/5
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    LAY USER/PATIENT

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MERIDIAN DR IMPLANTABLE PULSE GENERATOR DXY CARDIAC PACEMAKERS, INC 1276 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 86 YR Required Intervention THE DEVICE 4450/202840 WAS IMPLANTED 08-MAY-2000| THE DEVICE 432-/87156R WAS IMPLANTED 08-MAY-2000