FDA Adverse Event
Malfunction
Summary report: N
CONTAK RENEWAL TR
MDR report key: 1042617
·
Received May 8, 2008
Report
- Report Number
- 2124215-2008-34039
- Event Type
- Malfunction
- Date Received
- May 8, 2008
- Date of Event
- March 3, 2008
- Report Date
- March 3, 2008
- Manufacturer
- CARDIAC PACEMAKERS, INC
- Product Code
- NKE
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CONTAK RENEWAL TR | IMPLANTABLE CHF GENERATOR | NKE | CARDIAC PACEMAKERS, INC | H120 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other | THE DEVICE 4542/118658 WAS IMPLANTED 20-FEB-2008 |