FDA Adverse Event
Injury
Summary report: N
FINELINE II
MDR report key: 1042757
·
Received May 8, 2008
Report
- Report Number
- 2124215-2008-33899
- Event Type
- Injury
- Date Received
- May 8, 2008
- Date of Event
- February 21, 2008
- Report Date
- February 21, 2008
- Manufacturer
- CARDIAC PACEMAKERS, INC
- Product Code
- DTB
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WA, US
- Reporter Occupation
- PHYSICIAN
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | FINELINE II | IMPLANTABLE LEAD | DTB | CARDIAC PACEMAKERS, INC | 4456 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 83 YR | Required Intervention | THE DEVICE 1190/163914 WAS IMPLANTED 20-FEB-2008| THE DEVICE 4136/282613 WAS IMPLANTED 21-FEB-2008 |