BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ADAPTA DR

    MDR report key: 1072858 · Received July 10, 2008

    Report

    Report Number
    6000094-2008-00322
    Event Type
    Injury
    Date Received
    July 10, 2008
    Date of Event
    May 8, 2008
    Manufacturer
    MEDTRONIC S.A.
    Product Code
    NVZ
    Removal / Correction Number
    NI
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    PHYSICIAN

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ADAPTA DR IMPLANTABLE PULSE GENERATOR NVZ MEDTRONIC S.A. ADDRS1 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 69 YR Required Intervention