BEUDAMED
    FDA Adverse Event Injury Summary report: N

    VENTRACOR

    MDR report key: 1230102 · Received November 12, 2008

    Report

    Report Number
    MW5008968
    Event Type
    Injury
    Date Received
    November 12, 2008
    Date of Event
    November 4, 2008
    Report Date
    November 12, 2008
    Product Code
    DSQ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DEVICE FAILED-ELECTRICAL WIRING IN DRIVE LINE-WHILE GETTING OUT OF VEHICLE DRIVE LINE WAS CAUGHT AND DEVICE ALARMED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VENTRACOR VENTRASSIST DSQ 2056612010042

    Patients

    Seq Age Sex Outcome Treatment
    1 Disability