BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NONE

    MDR report key: 1072831 · Received July 10, 2008

    Report

    Report Number
    2182208-2008-00216
    Event Type
    Injury
    Date Received
    July 10, 2008
    Date of Event
    January 24, 2008
    Manufacturer
    MEDTRONIC, INC.
    Product Code
    LWS
    Removal / Correction Number
    NI
    Report Source
    Manufacturer report
    Reporter Location
    VA
    Reporter Occupation
    INVALID DATA

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NONE IMPLANTABLE TACHY LEAD LWS MEDTRONIC, INC. 6721S NA

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR Other 4968 IMPLANTABLE PACING LEAD| 7232CX IMPLANTABLE PACEMAKER/CARDIO/DEFIB