BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDTRONIC PAIN PUMP

    MDR report key: 112464 · Received July 18, 1997

    Report

    Report Number
    112464
    Event Type
    Injury
    Date Received
    July 18, 1997
    Date of Event
    June 12, 1997
    Report Date
    July 14, 1997
    Manufacturer
    *
    Product Code
    LKK
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    GA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    BLOOD PRESSURE DROPPED FROM 220/103 TO NON-DETECTABLE. QUICKLY RECOVERED TO 86/24 (A-LINE 37/32).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDTRONIC PAIN PUMP Implant DILAUDID TOXICITY LKK * * *

    Patients

    Seq Age Sex Outcome Treatment
    1 69 YR Hospitalization