BEUDAMED
    FDA Adverse Event Other Summary report: N

    COGNIS HE IS-1/DF-1/IS-1

    MDR report key: 1683182 · Received May 7, 2010

    Report

    Report Number
    2124215-2010-04593
    Event Type
    Other
    Date Received
    May 7, 2010
    Date of Event
    February 16, 2010
    Report Date
    May 7, 2010
    Manufacturer
    GUIDANT CRM CLONMEL IRELAND
    Product Code
    NIK
    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 COGNIS HE IS-1/DF-1/IS-1 IMPLANTABLE CHF PULSE GENERATOR NIK GUIDANT CRM CLONMEL IRELAND N119 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR