BEUDAMED
    FDA Adverse Event Death Summary report: N

    NA

    MDR report key: 1384967 · Received February 10, 2009

    Report

    Report Number
    2124215-2009-02545
    Event Type
    Death
    Date Received
    February 10, 2009
    Date of Event
    November 19, 2008
    Report Date
    February 10, 2009
    Manufacturer
    GUIDANT PUERTO RICO BV
    Product Code
    DXY
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    INVALID DATA

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NA NA DXY GUIDANT PUERTO RICO BV TACHY DEVICE NA

    Patients

    Seq Age Sex Outcome Treatment
    1 Death