BEUDAMED
    FDA Adverse Event Death Summary report: N

    MARQUIS VR

    MDR report key: 1242163 · Received November 18, 2008

    Report

    Report Number
    6000094-2008-00602
    Event Type
    Death
    Date Received
    November 18, 2008
    Date of Event
    November 3, 2008
    Manufacturer
    MEDTRONIC S.A.
    Product Code
    LWS
    Removal / Correction Number
    NI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    PHYSICIAN

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MARQUIS VR IMPLANTABLE PACEMAKER/CARDIO/DEFIB LWS MEDTRONIC S.A. 7230CX NA

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR Required Intervention