FDA Adverse Event Injury Summary report: N

SIGMA 300 SR

MDR report key: 1071967 · Received July 10, 2008

Report

Report Number
6000094-2008-00294
Event Type
Injury
Date Received
July 10, 2008
Date of Event
March 22, 2008
Manufacturer
MEDTRONIC S.A.
Product Code
DXY
Removal / Correction Number
NI
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
PHYSICIAN

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SIGMA 300 SR IMPLANTABLE PULSE GENERATOR DXY MEDTRONIC S.A. SSR306 NA

Patients

Seq Age Sex Outcome Treatment
1 UNK Required Intervention