BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MAXIMO VR

    MDR report key: 1050043 · Received May 8, 2008

    Report

    Report Number
    6000144-2008-00112
    Event Type
    Injury
    Date Received
    May 8, 2008
    Date of Event
    February 26, 2008
    Manufacturer
    MEDTRONIC MED REL, INC.
    Product Code
    LWS
    Removal / Correction Number
    NI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY
    Reporter Occupation
    INVALID DATA

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MAXIMO VR IMPLANTABLE PACEMAKER/CARDIO/DEFIB LWS MEDTRONIC MED REL, INC. 7232CX NA

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR Required Intervention 6947 IMPLANTABLE TACHY LEAD| D154VWC IMPLANTABLE PACEMAKER/CARDIO/DEFIB