BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SIGMA 100 S

    MDR report key: 1072330 · Received July 10, 2008

    Report

    Report Number
    6000024-2008-00040
    Event Type
    Injury
    Date Received
    July 10, 2008
    Date of Event
    March 25, 2008
    Manufacturer
    MEDTRONIC OF CANADA LTD.
    Product Code
    DXY
    Removal / Correction Number
    NI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CH
    Reporter Occupation
    PHYSICIAN

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SIGMA 100 S IMPLANTABLE PULSE GENERATOR DXY MEDTRONIC OF CANADA LTD. SS106 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR Other