BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ATTAIN ACCESS

    MDR report key: 1072612 · Received July 10, 2008

    Report

    Report Number
    9612164-2008-00003
    Event Type
    Injury
    Date Received
    July 10, 2008
    Date of Event
    May 23, 2008
    Manufacturer
    MEDTRONIC IRELAND
    Product Code
    LWP
    Removal / Correction Number
    NI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    PHYSICIAN

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ATTAIN ACCESS LEFT HEART DELIVERY SYSTEM LWP MEDTRONIC IRELAND 6218A NA

    Patients

    Seq Age Sex Outcome Treatment
    1 72 YR Required Intervention