FDA Adverse Event
Injury
Summary report: N
FINELINE II
MDR report key: 1043454
·
Received May 8, 2008
Report
- Report Number
- 2124215-2008-33187
- Event Type
- Injury
- Date Received
- May 8, 2008
- Date of Event
- February 4, 2008
- Report Date
- February 4, 2008
- Manufacturer
- CARDIAC PACEMAKERS, INC
- Product Code
- DTB
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GA, US
- Reporter Occupation
- PHYSICIAN
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | FINELINE II | IMPLANTABLE LEAD | DTB | CARDIAC PACEMAKERS, INC | 4457 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 52 YR | Required Intervention | THE DEVICE 4136/245232 WAS IMPLANTED 16-JAN-2008| THE DEVICE 4137/282546 WAS IMPLANTED 04-FEB-2008| THE DEVICE 4554/156897 WAS IMPLANTED 16-JAN-2008| THE DEVICE 7020 ADK206 WAS USED DURING THE EVENT.| THE DEVICE H210/214180 WAS IMPLANTED 16-JAN-2008 |