FDA Adverse Event Injury Summary report: N

FINELINE II STEROX BIPOLAR IS-1 PASSIVE STEROID RV 52 CM

MDR report key: 1681485 · Received May 7, 2010

Report

Report Number
2124215-2010-09139
Event Type
Injury
Date Received
May 7, 2010
Date of Event
March 31, 2010
Report Date
May 7, 2010
Manufacturer
CPI - DEL CARIBE
Product Code
DTB
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
INVALID DATA

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 FINELINE II STEROX BIPOLAR IS-1 PASSIVE STEROID RV 52 CM IMPLANTABLE LEAD DTB CPI - DEL CARIBE 4456 NA

Patients

Seq Age Sex Outcome Treatment
1 90 YR Other