FDA Adverse Event
Injury
Summary report: N
META MV
MDR report key: 151737
·
Received February 6, 1998
Report
- Report Number
- 2017865-1997-01071
- Event Type
- Injury
- Date Received
- February 6, 1998
- Date of Event
- March 6, 1997
- Report Date
- June 20, 1997
- Manufacturer
- TELECTRONICS PACING SYSTEMS INC
- Product Code
- DXY
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MN, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
INFORMATION RECEIVED WITH RETURN OF THE EXPLANTED DEVICE DOES NOT ADDRESS THE PATIENT'S CLINICAL STATUS BUT NOTES SENSING DIF FICULTIES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | META MV Implant | IMPLANTABLE PACEMAKER PULSE GENERATOR | DXY | TELECTRONICS PACING SYSTEMS INC | 1202 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 71 YR | Required Intervention |