BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LEAD 6972

    MDR report key: 1100524 · Received August 5, 2008

    Report

    Report Number
    MW5007888
    Event Type
    Injury
    Date Received
    August 5, 2008
    Date of Event
    October 1, 1984
    Manufacturer
    MEDTRONICS
    Product Code
    DTB
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MN, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    THEY USED A LEAD THAT FOR THREE YEARS THEY KNEW IT WAS DEFECTIVE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LEAD 6972 LEAD DTB MEDTRONICS 6972

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| L| O| R| S