BEUDAMED
    FDA Adverse Event Injury Summary report: N

    KAPPA DR. 400

    MDR report key: 1133453 · Received August 22, 2008

    Report

    Report Number
    1133453
    Event Type
    Injury
    Date Received
    August 22, 2008
    Date of Event
    July 11, 2008
    Report Date
    August 22, 2008
    Manufacturer
    MEDTRONIC INC.
    Product Code
    DXY
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    HI, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    END OF LIFE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KAPPA DR. 400 GENERATOR DXY MEDTRONIC INC. KDR 401 *

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization