FDA Adverse Event
Injury
Summary report: N
MAXIMO DR
MDR report key: 1072082
·
Received July 10, 2008
Report
- Report Number
- 6000144-2008-00167
- Event Type
- Injury
- Date Received
- July 10, 2008
- Date of Event
- July 16, 2007
- Manufacturer
- MEDTRONIC MED REL, INC.
- Product Code
- LWS
- Removal / Correction Number
- NI
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX
- Reporter Occupation
- INVALID DATA
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MAXIMO DR | IMPLANTABLE PACEMAKER/CARDIO/DEFIB | LWS | MEDTRONIC MED REL, INC. | 7278 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 63 YR | Required Intervention | 6949 IMPLANTABLE TACHY LEAD| 5076 IMPLANTABLE PACING LEAD |