BEUDAMED
    FDA Adverse Event Injury Summary report: N

    KAPPA 900 DR

    MDR report key: 1072411 · Received July 10, 2008

    Report

    Report Number
    2647346-2008-00335
    Event Type
    Injury
    Date Received
    July 10, 2008
    Date of Event
    December 13, 2007
    Manufacturer
    MEDTRONIC MED REL, INC.
    Product Code
    DXY
    Removal / Correction Number
    NI
    Report Source
    Manufacturer report
    Reporter Location
    TX
    Reporter Occupation
    INVALID DATA

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KAPPA 900 DR IMPLANTABLE PULSE GENERATOR DXY MEDTRONIC MED REL, INC. KDR903 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Required Intervention 1388TC52 COMPETITOR IMPLANTABLE PACING LEAD| 1388TC58 COMPETITOR IMPLANTABLE PACING LEAD