FDA Adverse Event Injury Summary report: N

TENDRIL ST

MDR report key: 1050516 · Received May 27, 2008

Report

Report Number
2017865-2008-01492
Event Type
Injury
Date Received
May 27, 2008
Date of Event
February 24, 2008
Manufacturer
ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION
Product Code
DTB
PMA / PMN Number
PMA00001
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MN
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT THE LEAD EXHIBITED "POOR R WAVES".

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TENDRIL ST PERMANENT PACEMAKER ELECTRODE DTB ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION 1788T/52 NA

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention