BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ENPULSE

    MDR report key: 1072234 · Received July 10, 2008

    Report

    Report Number
    6000094-2008-00317
    Event Type
    Injury
    Date Received
    July 10, 2008
    Date of Event
    April 14, 2008
    Manufacturer
    MEDTRONIC S.A.
    Product Code
    DXY
    Removal / Correction Number
    NI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FS
    Reporter Occupation
    PHYSICIAN

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ENPULSE IMPLANTABLE PULSE GENERATOR DXY MEDTRONIC S.A. E2SR03 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR Required Intervention